One provider matched this enrollment ID.
Enrollment ID I20170906003003 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 12 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20071126000112Physical Therapist in Private PracticeMI
- I20170906003003Physical Therapist in Private PracticeOH
- I20221103001638Physical Therapist in Private PracticeAL
- I20231114002389Physical Therapist in Private PracticeGA
- I20240102003921Physical Therapist in Private PracticeOR
- I20240507001698Physical Therapist in Private PracticeTN
- I20240924001574Physical Therapist in Private PracticePA
- I20241220002332Physical Therapist in Private PracticeNJ
- I20241221000098Physical Therapist in Private PracticeSC
- I20250214000432Physical Therapist in Private PracticeNC
- I20250414001650Physical Therapist in Private PracticeTX
- I20260108001915Physical Therapist in Private PracticeIN
Source: CMS PECOS public enrollment file.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 200000012335· Issued by PHP
Source: NPPES public registry.
ReferenceAbout Medicare Enrollment IDs
A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.