Jenna Marie Bain, PT
NPI 1629382619ActiveIndividual· Physical Therapist· Lamoure, ND
Physical Therapist (PT) with Athletico Ltd, practicing in Lamoure, North Dakota. Medicare paid $22,897 for services to 39 patients in 2024.
Overview
| NPI | 1629382619 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Aug 2, 2010 |
| Last updated in NPPES | Sep 9, 2021 |
| Certified by provider | Sep 9, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1949 | ND |
| Physical Therapist | 225100000X | 60161010 | WA |
| Physical Therapist | 225100000X | 1668 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 39 |
|---|---|
| Services billed | 1,258 across 9 procedure codes |
| Paid by Medicare | $22,897 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Athletico LtdOttawa, IL · 2,200 clinicians
Other Physical Therapist providers in Lamoure
- 1740010578
- 1194387472