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NPI 1891822607ActiveOrganization· Physical Therapist· Middlebury, CT
Physical Therapist in Middlebury, Connecticut, registered in NPPES in February 2007. The authorized official on file is Michael Andrew Dane, PT, Member. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - clinic/group practice.
Overview
| NPI | 1891822607 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 28, 2007 |
| Last updated in NPPES | Oct 29, 2018 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Independently-Practicing Physical Therapist (CT); Part B Supplier - Clinic/Group Practice (CT) |
|---|
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