Therapy Providers South Inc.
NPI 1790826576ActiveOrganization· Physical Therapist· Homewood, IL
Physical Therapist in Homewood, Illinois, registered in NPPES in February 2007. The authorized official on file is Mashkoor Ali Khan, Executive. Enrolled in Medicare as part a provider - outpatient physical therapy/occupational therapy/speech pathology services.
Overview
| NPI | 1790826576 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 12, 2007 |
| Last updated in NPPES | Jan 19, 2026 |
| Certified by provider | Jan 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
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 A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services (IL) |
|---|
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