Patrick Stephen Lally, PT, DPT, ATC
NPI 1013087543ActiveIndividual· Physical Therapist· Phoenix, AZ
Physical Therapist (PT, DPT, ATC) with Ati Holdings of Arizona LLC, practicing in Phoenix, Arizona. Medicare paid $61,931 for services to 109 patients in 2024.
Overview
| NPI | 1013087543 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, ATC |
| Sole proprietor | No |
| NPI issued | Nov 9, 2006 |
| Last updated in NPPES | Feb 27, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 7198 | AZ |
| Physical Therapist | 225100000X | PT871109 | DC |
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 Practitioner - Physical Therapist in Private Practice (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 109 |
|---|---|
| Services billed | 3,103 across 9 procedure codes |
| Paid by Medicare | $61,931 |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Ati Holdings of Arizona LLCGoodyear, AZ · 224 clinicians
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