Angel Leaf Rehab and Consulting LLC
NPI 1053691352ActiveOrganization· Specialist· Lake Jackson, TX
Specialist in Lake Jackson, Texas, registered in NPPES in August 2011. The authorized official on file is Edna Lucio, OTR, Ceo. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1053691352 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 18, 2011 |
| Last updated in NPPES | Feb 25, 2026 |
| Certified by provider | Feb 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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 Part B Supplier - Physical/Occupational Therapy Group in Private Practice (TX) |
|---|
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