Tallassee Rehab PC
NPI 1750312849ActiveOrganization· Physical Therapist· Tallassee, AL
Physical Therapist in Tallassee, Alabama, registered in NPPES in July 2006. The authorized official on file is Pamela Van Etten, PT, Pt Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1750312849 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 6, 2006 |
| Last updated in NPPES | Apr 24, 2025 |
| Certified by provider | Apr 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
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 (AL) |
|---|
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