410 Physical Therapy PC
NPI 1053718957ActiveOrganization· Physical Therapist· Jamaica, NY
Physical Therapist in Jamaica, New York, registered in NPPES in November 2014. The authorized official on file is Alvin Tupaz, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053718957 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 21, 2014 |
| Last updated in NPPES | Feb 19, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 024252 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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