Sports Lab & Physical Therapy, PLLC
NPI 1972295848ActiveOrganization· Physical Therapist· Spokane Valley, WA
Physical Therapist in Spokane Valley, Washington, registered in NPPES in May 2023. The authorized official on file is Leandro M. Bastos, PT, DPT, Physical Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972295848 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 22, 2023 |
| Last updated in NPPES | May 22, 2023 |
| Certified by provider | May 20, 2023 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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