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Augustine Avelleyra

NPI 1013605807ActiveIndividual· Physical Therapy Assistant· Mount Horeb, WI

Physical Therapy Assistant in Mount Horeb, Wisconsin, licensed in WI, with an NPI issued in April 2023.

Overview

NPI1013605807
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedApr 28, 2023
Last updated in NPPESApr 28, 2023
Certified by providerApr 28, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary225200000X2711-19WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physical Therapy Assistant providers in Mount Horeb

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