Performance and Function Physical Therapy
NPI 1962152363ActiveOrganization· Physical Therapist· Lakewood Ranch, FL
Physical Therapist in Lakewood Ranch, Florida, registered in NPPES in March 2022. The authorized official on file is Rene S. Bourdeau, Owner/ President.
Overview
| NPI | 1962152363 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2022 |
| Last updated in NPPES | Mar 28, 2022 |
| Certified by provider | Mar 28, 2022 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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