Physical Therapy Plus of Idaho PLLC
NPI 1801875604ActiveOrganization· Physical Therapist· Ketchum, ID
Physical Therapist in Ketchum, Idaho, registered in NPPES in January 2006. The authorized official on file is Sydney Lyn Praeger, RPT, Owner Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1801875604 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2006 |
| Last updated in NPPES | Oct 28, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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