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Vista Physical Therapy and Rehab PC

NPI 1013305069ActiveOrganization· Physical Therapist· Vista, CA

Physical Therapist in Vista, California, registered in NPPES in December 2014. The authorized official on file is Jacob A. Barrack, DPT, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1013305069
StatusActive
Entity typeOrganization
NPI issuedDec 29, 2014
Last updated in NPPESDec 29, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000XPT41928CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (CA)

Medicare sources and data years

Other physical therapists in Vista

All 88 physical therapists in Vista · All physical therapists in California