Deabay Mobile Physical Therapy, LLC
NPI 1790419976ActiveOrganization· Physical Therapist· Bangor, ME
Physical Therapist in Bangor, Maine, registered in NPPES in July 2022. The authorized official on file is Ann Covey, Billing Manager. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1790419976 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2022 |
| Last updated in NPPES | Apr 4, 2024 |
| Certified by provider | Apr 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 - Physical/Occupational Therapy Group in Private Practice (ME) |
|---|
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