Trailhead Pelvic & Visceral Physical Therapy LLC
NPI 1023757747ActiveOrganization· Physical Therapist· Los Ranchos De Albuquerque, NM
Physical Therapist in Los Ranchos De Albuquerque, New Mexico, registered in NPPES in June 2022. The authorized official on file is Susanna P. Vanderwalt, Ceo.
Overview
| NPI | 1023757747 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2022 |
| Last updated in NPPES | Jul 17, 2022 |
| Certified by provider | Jul 17, 2022 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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