EXCLUDEDPROVIDER
Individual Revocation

Mikaela Potrako

West Chester, PA 19382

Public HHS-OIG LEIE exclusion record

Mikaela Potrako of West Chester, PA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1609386341 with a primary specialty of Specialist/Technologist, Athletic Trainer. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Mikaela Potrako is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of July 20, 2023.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
West Chester, PA 19382
Exclusion date
July 20, 2023
Exclusion type
Revocation (1128b4)
NPI
1609386341

Record summary

Mikaela Potrako appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with West Chester, Pennsylvania. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is July 20, 2023, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateJuly 20, 2023
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1609386341
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with West Chester, PA 19382. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Physical Therapy.

NPI Registry context

The LEIE record lists NPI 1609386341. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Specialist/Technologist, Athletic Trainer (2255A2300X). Registered practice location: Auburn, AL. NPI enumeration date: Oct 9, 2017. NPPES status: Active.

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in West Chester, PA

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a West Chester, PA address.

Jason Lawrence Dillinger Individual Drug Felony
West Chester, PA · Felony conviction relating to controlled substance · Excluded Nov 2024
Brian C Bigler Individual Drug Felony
West Chester, PA · Felony conviction relating to controlled substance · Excluded Aug 2024
Beth Simasek Conway Individual Revocation
West Chester, PA · License revocation, suspension, or surrender · Excluded May 2008
Michael T Snow Individual Revocation
West Chester, PA · License revocation, suspension, or surrender · Excluded Oct 2006
Penny Supplee Individual Revocation
West Chester, PA · License revocation, suspension, or surrender · Excluded Mar 2005
Celine Strzelecki Erb Individual Revocation
West Chester, PA · License revocation, suspension, or surrender · Excluded May 2000
Harold R Sands Individual Revocation
West Chester, PA · License revocation, suspension, or surrender · Excluded May 1996
James Dulin Individual Revocation
West Chester, PA · License revocation, suspension, or surrender · Excluded May 1991

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

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Related

More Excluded Individuals in Pennsylvania More Records in West Chester More Revocation Records