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Hq of Algonac LLC

NPI 1790279313ActiveOrganization· Physical Therapist· Algonac, MI

Physical Therapist in Algonac, Michigan, registered in NPPES in June 2018. The authorized official on file is Emiy Lisa-Marie Hess, Vice President Of Operations. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.

Overview

NPI1790279313
StatusActive
Entity typeOrganization
NPI issuedJun 18, 2018
Last updated in NPPESJun 18, 2018

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No 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)

Medicare sources and data years

Other Physical Therapist providers in Algonac

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