Evergreen Physical Therapy Ps
NPI 1891780151ActiveOrganization· Physical Therapist· Mount Vernon, WA
Physical Therapist in Mount Vernon, Washington, registered in NPPES in September 2005. The authorized official on file is Joshua R. Smith, Office Admin.
Overview
| NPI | 1891780151 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2005 |
| Last updated in NPPES | Jun 10, 2024 |
| Certified by provider | Jun 10, 2024 |
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 | Listed (NPI) | Terminate Medicaid Authority · since Jul 27, 2021 · WA |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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