Premier Physical Therapy and Sports Performance, LLC
NPI 1679280267ActiveOrganization· Physical Therapist· Dodge City, KS
Physical Therapist in Dodge City, Kansas, registered in NPPES in November 2022, part of Premier Physical Therapy and Sports Rehabilitation, LLC. The authorized official on file is Aaron Max Eugene Stapleton, DPT, Co-Owner, Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1679280267 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Premier Physical Therapy and Sports Rehabilitation, LLC |
| NPI issued | Nov 2, 2022 |
| Last updated in NPPES | Dec 29, 2022 |
| Certified by provider | Dec 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 (KS) |
|---|
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