Core 307 PT LLC
NPI 1801386370ActiveOrganization· Physical Therapist· Gillette, WY
Physical Therapist in Gillette, Wyoming, registered in NPPES in May 2018. The authorized official on file is Tiffany Carol Callaway, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1801386370 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2018 |
| Last updated in NPPES | May 10, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1435 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WY) |
|---|
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