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Eagle Physical Therapy PA

NPI 1750478327ActiveOrganization· Physical Therapist· Eagle, ID

Physical Therapist in Eagle, Idaho, registered in NPPES in October 2006. The authorized official on file is Randall K. Langley, MPT, OCS, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1750478327
StatusActive
Entity typeOrganization
NPI issuedOct 6, 2006
Last updated in NPPESSep 1, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (ID)

Medicare sources and data years

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