Orem Sports Medicine Center, LLC
NPI 1659397313ActiveOrganization· Physical Therapist· Orem, UT
Physical Therapist in Orem, Utah, registered in NPPES in July 2006. The authorized official on file is Matthew F. Bushnell, DPT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659397313 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2006 |
| Last updated in NPPES | Nov 27, 2023 |
| Certified by provider | Nov 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 4739582-2401 | UT |
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 Part B Supplier - Clinic/Group Practice (UT) |
|---|
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