White Mountain Physical Therapy Ltd
NPI 1750385654ActiveOrganization· Physical Therapist· Show Low, AZ
Physical Therapist in Show Low, Arizona, registered in NPPES in June 2005. The authorized official on file is Michael Lynn Johnson, P.T., Co-Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1750385654 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 8, 2005 |
| Last updated in NPPES | Apr 19, 2024 |
| Certified by provider | Apr 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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 (AZ) |
|---|
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All 26 physical therapists in Show Low · All physical therapists in Arizona