Bespoke Rehabilitation, LLC
NPI 1679312011ActiveOrganization· Physical Therapist· Longview, TX
Physical Therapist in Longview, Texas, registered in NPPES in May 2024. The authorized official on file is Jimmy A. Chamberlain, OTR, Ceo/Occupational Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1679312011 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 24, 2024 |
| Last updated in NPPES | Dec 27, 2024 |
| Certified by provider | Dec 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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 (TX) |
|---|
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