Premier Physical Therapy, LLC
NPI 1720035371ActiveOrganization· Physical Therapist· Bridgton, ME
Physical Therapist in Bridgton, Maine, registered in NPPES in May 2006. The authorized official on file is Leo R. Credit, PT, Indirect Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1720035371 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 28, 2006 |
| Last updated in NPPES | Dec 6, 2016 |
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 (ME) |
|---|
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