Functional Dimensions LLC
NPI 1750661542ActiveOrganization· Physical Therapist· Traverse City, MI
Physical Therapist in Traverse City, Michigan, registered in NPPES in August 2011. The authorized official on file is Andrew Gorecki, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1750661542 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 24, 2011 |
| Last updated in NPPES | May 21, 2026 |
| Certified by provider | May 21, 2026 |
| Reactivated | Jan 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501014611 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 (MI) |
|---|
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