Tri-Vista Rehab, Inc
NPI 1982799516ActiveOrganization· Physical Therapist· Tupelo, MS
Physical Therapist in Tupelo, Mississippi, registered in NPPES in October 2006. The authorized official on file is Kevin Troy Boutin, OTR, President. Enrolled in Medicare as part a provider - outpatient physical therapy/occupational therapy/speech pathology services and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1982799516 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | Sep 27, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| 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 A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services (MS); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MS) |
|---|
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