Physical Medicine Ctr of Marin, A PT Corp.
NPI 1013176775ActiveOrganization· Physical Therapist· Mill Valley, CA
Physical Therapist in Mill Valley, California, registered in NPPES in June 2008. The authorized official on file is Michael Joseph Iacovelli, PT, DC, President, Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1013176775 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 6, 2008 |
| Last updated in NPPES | Jun 6, 2008 |
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 Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CA) |
|---|
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