Mango Physical Therapy & Wellness, PLLC
NPI 1083492771ActiveOrganization· Physical Therapist· Wylie, TX
Physical Therapist in Wylie, Texas, registered in NPPES in September 2023. The authorized official on file is Jaclyn Crawford, PT, DPT, Physical Therapist/ Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1083492771 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 15, 2023 |
| Last updated in NPPES | Sep 22, 2023 |
| Certified by provider | Sep 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Physical Therapy Assistant | 225200000X | — | — |
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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