Pavilion Outpatient Therapy LLC
NPI 1689224248ActiveOrganization· Physical Therapist· Annandale, VA
Physical Therapist in Annandale, Virginia, registered in NPPES in September 2019, part of Pavilion Medical Home Care & Staffing, LLC. The authorized official on file is Gibson Erhunmwunse, CRNP, Ceo.
Overview
| NPI | 1689224248 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pavilion Medical Home Care & Staffing, LLC |
| NPI issued | Sep 16, 2019 |
| Last updated in NPPES | Sep 16, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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