DO PT LLC
NPI 1912572025ActiveOrganization· Physical Therapist· Benton, AR
Physical Therapist in Benton, Arkansas, registered in NPPES in May 2021. The authorized official on file is Douglas Logan Distefano, PT, DPT, FAAOMPT, Co-Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1912572025 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2021 |
| Last updated in NPPES | Jul 13, 2026 |
| Certified by provider | Jul 13, 2026 |
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 (AR) |
|---|
Other Physical Therapist providers in Benton
- 1437243359
- 1164764924
- 1215021159
- 1306518956
- 1033433263
- 1295863678
- 1396576781
- 1417551045
- 1245101286
- 1790430759
- 1477482461
- 1992588776