Michael Kent Booth, PT, DPT, ATC, MS
NPI 1811460082ActiveIndividual· Physical Therapist· Aston, PA
Physical Therapist (PT, DPT, ATC, MS) in Aston, Pennsylvania, licensed in PA and NJ, with an NPI issued in January 2019. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1811460082 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, ATC, MS |
| Sole proprietor | Yes |
| NPI issued | Jan 9, 2019 |
| Last updated in NPPES | Mar 24, 2026 |
| Certified by provider | Mar 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT031441 | PA |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 25MT00302200 | NJ |
| Physical Therapist | 225100000X | 40QA02349300 | NJ |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | RT007664 | PA |
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 Practitioner - Physical Therapist in Private Practice (NJ) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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