Maeselle Tissnolthtos La Paz
NPI 1033710629ActiveIndividual· Physical Therapist· Cortez, CO
Physical Therapist with Johnson Physical Therapy and Rehab PC, practicing in Cortez, Colorado. Medicare paid $55,327 for services to 160 patients in 2024.
Overview
| NPI | 1033710629 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 2, 2020 |
| Last updated in NPPES | Sep 21, 2021 |
| Certified by provider | Sep 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PTL.0017554 | CO |
| Physical Therapist | 225100000X | PT5767 | NM |
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 (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 160 |
|---|---|
| Services billed | 2,617 across 10 procedure codes |
| Paid by Medicare | $55,327 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Johnson Physical Therapy and Rehab PCCortez, CO · 5 clinicians
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