Proform Physical Therapy LLC
NPI 1073958351ActiveOrganization· Physical Therapist· Aberdeen, NJ
Physical Therapist in Aberdeen, New Jersey, registered in NPPES in May 2013. The authorized official on file is Leonard Jesus Somarriba, PT, Doctor Of Physical Therapy. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1073958351 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 1, 2013 |
| Last updated in NPPES | Jan 24, 2023 |
| Certified by provider | Jan 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | NJ |
| Acupuncturist | 171100000X | — | NJ |
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 DME Supplier - Independently-Practicing Physical Therapist (NJ); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NJ) |
|---|
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