Performance West Physical Therapy
NPI 1720148240ActiveOrganization· Physical Therapist· Bountiful, UT
Physical Therapist in Bountiful, Utah, registered in NPPES in December 2006. The authorized official on file is Amy Busby, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720148240 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2006 |
| Last updated in NPPES | Nov 16, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 200631198 | UT |
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 (UT) |
|---|
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