Red Canyon, LLC
NPI 1841872405ActiveOrganization· Physical Therapist· Martinsburg, WV
Physical Therapist in Martinsburg, West Virginia, registered in NPPES in April 2021. The authorized official on file is Daniel James Gardner, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1841872405 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2021 |
| Last updated in NPPES | Oct 2, 2025 |
| Certified by provider | Oct 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 - Physical/Occupational Therapy Group in Private Practice (WV) |
|---|
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