San Tan Physical Therapy, PLLC
NPI 1710105747ActiveOrganization· Specialist· Queen Creek, AZ
Specialist in Queen Creek, Arizona, registered in NPPES in April 2007. The authorized official on file is Joal R. Miller, P.T., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710105747 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2007 |
| Last updated in NPPES | Nov 28, 2023 |
| Certified by provider | Nov 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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