Lifespan Therapy & Wellness, LLC
NPI 1669626289ActiveOrganization· Physical Therapist· Washington Township, MI
Physical Therapist in Washington Township, Michigan, registered in NPPES in November 2008. The authorized official on file is Katherine Mary Wybo, M.P.T., Co-Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1669626289 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 10, 2008 |
| Last updated in NPPES | Dec 29, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501010900 | MI |
| Physical Therapist | 225100000X | 5501010802 | MI |
| Physical Therapist | 225100000X | 5501010889 | MI |
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 - Physical/Occupational Therapy Group in Private Practice (MI) |
|---|
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