Lifestyle Physical Therapy Ltd.
NPI 1811934250ActiveOrganization· Physical Therapist· Itasca, IL
Physical Therapist in Itasca, Illinois, registered in NPPES in June 2006. The authorized official on file is Paul Nelson, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1811934250 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 2, 2006 |
| Last updated in NPPES | Oct 18, 2024 |
| Certified by provider | Oct 18, 2024 |
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 - Physical/Occupational Therapy Group in Private Practice (IL) |
|---|
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