Ignite Rehab PT PC
NPI 1003263534ActiveOrganization· Physical Therapist· Brooklyn, NY
Physical Therapist in Brooklyn, New York, registered in NPPES in May 2016. The authorized official on file is Roland Paqueo, DOCTOR OF PT, Pt/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003263534 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 13, 2016 |
| Last updated in NPPES | Jan 9, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 022730 | NY |
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 Part B Supplier - Clinic/Group Practice (NY) |
|---|
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