Ryseup Rehab Limited Liability Company
NPI 1699470609ActiveOrganization· Physical Therapist· Provo, UT
Physical Therapist in Provo, Utah, registered in NPPES in March 2023. The authorized official on file is Cody Shawn Young, Cfo. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1699470609 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 31, 2023 |
| Last updated in NPPES | Mar 31, 2023 |
| Certified by provider | Mar 31, 2023 |
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 (UT) |
|---|
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