360 Physical Therapy Wellness PC
NPI 1053906271ActiveOrganization· Physical Therapist· New York, NY
Physical Therapist in New York, New York, registered in NPPES in March 2021. The authorized official on file is Jack Zuckerman, DPT, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053906271 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2021 |
| Last updated in NPPES | Jun 17, 2024 |
| Certified by provider | Jun 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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