Advanced Ortho Rehab, P.A.
NPI 1679766711ActiveOrganization· Chiropractor· Lake Charles, LA
Chiropractor in Lake Charles, Louisiana, registered in NPPES in August 2007. The authorized official on file is Samuel E. Liscum, D.C., Proprietor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679766711 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 22, 2007 |
| Last updated in NPPES | Feb 13, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 1563 | LA |
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 - Clinic/Group Practice (LA) |
|---|
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