Lourdes Bernadette Verdera Potestades, PT, DPT, OCS
NPI 1053590125ActiveIndividual· Physical Therapist· La Plata, MD
Physical Therapist (PT, DPT, OCS) with Civista Medical Center Inc, practicing in La Plata, Maryland. Medicare paid $49,055 for services to 185 patients in 2024.
Overview
| NPI | 1053590125 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, OCS |
| Sole proprietor | Yes |
| NPI issued | Oct 25, 2007 |
| Last updated in NPPES | Nov 22, 2024 |
| Certified by provider | Nov 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 23535 | MD |
| Physical Therapist | 225100000X | P11371 | NC |
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 (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 185 |
|---|---|
| Services billed | 2,342 across 9 procedure codes |
| Paid by Medicare | $49,055 |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Civista Medical Center IncLa Plata, MD · 13 clinicians
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