Kinport Physical Therapy
NPI 1740947472ActiveOrganization· Physical Therapist· Pocatello, ID
Physical Therapist in Pocatello, Idaho, registered in NPPES in November 2021. The authorized official on file is Bryan Lawson, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1740947472 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2021 |
| Last updated in NPPES | Nov 17, 2021 |
| Certified by provider | Nov 17, 2021 |
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 - Physical/Occupational Therapy Group in Private Practice (ID) |
|---|
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