Power Basin Therapy LLC
NPI 1982580452ActiveOrganization· Physical Therapist· Eagle, ID
Physical Therapist in Eagle, Idaho, registered in NPPES in August 2025. The authorized official on file is Amber Tueller, Secretary. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1982580452 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2025 |
| Last updated in NPPES | Nov 14, 2025 |
| Certified by provider | Nov 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Physical Therapy Assistant | 225200000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
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 (WY) |
|---|
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