Summit Physical Therapy, PLLC
NPI 1992348569ActiveOrganization· Physical Therapist· Middleburg, FL
Physical Therapist in Middleburg, Florida, registered in NPPES in October 2019. The authorized official on file is Tara Reeves Vollertsen, Owner. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - clinic/group practice.
Overview
| NPI | 1992348569 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2019 |
| Last updated in NPPES | May 11, 2026 |
| Certified by provider | May 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Independently-Practicing Physical Therapist (FL); Part B Supplier - Clinic/Group Practice (FL) |
|---|
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