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River Valley Therapy & Sports Medicine Inc

NPI 1619925732ActiveOrganization· Physical Therapist· Russellville, AR

Physical Therapist in Russellville, Arkansas, registered in NPPES in May 2006. The authorized official on file is Gabe Freyaldenhoven, P.T., Owner. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - physical/occupational therapy group in private practice.

Overview

NPI1619925732
StatusActive
Entity typeOrganization
NPI issuedMay 4, 2006
Last updated in NPPESJun 12, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Independently-Practicing Physical Therapist (AR); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (AR); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (OK)

Medicare sources and data years

Other Physical Therapist providers in Russellville

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