Mark T. Cheralla, MPT, LOTR
NPI 1083647127ActiveIndividual· Occupational Therapist· Baton Rouge, LA
Occupational Therapist (MPT, LOTR) with Renew Physical Therapy, LLC, practicing in Baton Rouge, Louisiana. Enrolled in Medicare as practitioner - occupational therapist in private practice and practitioner - physical therapist in private practice.
Overview
| NPI | 1083647127 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPT, LOTR |
| Sole proprietor | No |
| NPI issued | Jul 9, 2006 |
| Last updated in NPPES | Aug 6, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OTTZ12348 | LA |
| Physical Therapist | 225100000X | 06302 | LA |
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 Practitioner - Occupational Therapist in Private Practice (LA); Practitioner - Physical Therapist in Private Practice (LA) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Renew Physical Therapy, LLCCovington, LA · 5 clinicians
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