Medical Fitness Center LLC
NPI 1972011443ActiveOrganization· Physical Therapist· Eagle, ID
Physical Therapist in Eagle, Idaho, registered in NPPES in January 2018. The authorized official on file is Benjamin Shatto, PT, Owner.
Overview
| NPI | 1972011443 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 17, 2018 |
| Last updated in NPPES | Mar 21, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT1883 | ID |
| Physical Therapy Assistant | 225200000X | — | — |
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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