Proformance Physical Therapy, LLC
NPI 1720012065ActiveOrganization· Physical Therapist· Pullman, WA
Physical Therapist in Pullman, Washington, registered in NPPES in July 2006. The authorized official on file is Robert Timothy Bashaw, PT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720012065 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 11, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
Other physical therapists in Pullman
- 1033372677
- 1093823072
- 1104844265
- 1306934336
- 1326347360
- 1336173681
- 1346431863
- 1366508087
- 1447597323
- 1568879096
- 1659651354
- 1689168841
All 38 physical therapists in Pullman · All physical therapists in Washington