Orthopedic Surgery and Sports
NPI 1700588530ActiveOrganization· Physical Therapist· Hayden, ID
Physical Therapist in Hayden, Idaho, registered in NPPES in March 2023, part of Orthopedic Surgery and Sports. The authorized official on file is Roger Dunteman, MD, Owner.
Overview
| NPI | 1700588530 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Orthopedic Surgery and Sports |
| NPI issued | Mar 17, 2023 |
| Last updated in NPPES | Mar 17, 2023 |
| Certified by provider | Mar 15, 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 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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