Creative Health Care Management, LLC
NPI 1790302164ActiveOrganization· Physical Therapist· Bradenton, FL
Physical Therapist in Bradenton, Florida, registered in NPPES in July 2020. The authorized official on file is Misty D. Beaudry-Zobel, Medical Reimbursement Coordinator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790302164 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2020 |
| Last updated in NPPES | Dec 21, 2020 |
| Certified by provider | Dec 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| General Practice | 208D00000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
| Clinic/Center, Rehabilitation | 261QR0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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