Brandon Gore
NPI 1063135515ActiveIndividual· Physical Therapy Assistant· Rio Rancho, NM
Physical Therapy Assistant in Rio Rancho, New Mexico, licensed in NM, with an NPI issued in September 2022.
Overview
| NPI | 1063135515 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 20, 2022 |
| Last updated in NPPES | Sep 20, 2022 |
| Certified by provider | Sep 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | A-1326 | NM |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapy Assistant providers in Rio Rancho
- 1689311920
- 1629927470
- 1730087354
- 1023265063
- 1669835187
- 1902093271
- 1679345789
- 1083336267
- 1033752159
- 1659110823
- 1306205265
- 1790428928