Sog Physical Therapy
NPI 1902361660ActiveOrganization· Clinic/Center, Multi-Specialty· Tupelo, MS
Clinic/Center, Multi-Specialty in Tupelo, Mississippi, registered in NPPES in February 2019. The authorized official on file is Thomas Luster, Ceo. Enrolled in Medicare as dme supplier - independently-practicing occupational therapist and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1902361660 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2019 |
| Last updated in NPPES | Sep 3, 2024 |
| Certified by provider | Sep 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
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 DME Supplier - Independently-Practicing Occupational Therapist (MS); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MS) |
|---|
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