Nantasket Physical Therapy LLC
NPI 1790078665ActiveOrganization· Physical Therapist· Hull, MA
Physical Therapist in Hull, Massachusetts, registered in NPPES in May 2011. The authorized official on file is Candice O'Connell, Member/Manager. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1790078665 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 25, 2011 |
| Last updated in NPPES | Sep 6, 2022 |
| Certified by provider | Sep 6, 2022 |
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 (MA) |
|---|
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