Stac Physical Therapy Laguna, Inc
NPI 1639713340ActiveOrganization· Physical Therapist· Elk Grove, CA
Physical Therapist in Elk Grove, California, registered in NPPES in November 2019. The authorized official on file is Or Nativ, Director/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639713340 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 6, 2019 |
| Last updated in NPPES | Mar 28, 2025 |
| Certified by provider | Mar 28, 2025 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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