Fresh Pond Physical Therapy Jackson Heights, PC.
NPI 1093111023ActiveOrganization· Physical Therapist· Jackson Heights, NY
Physical Therapist in Jackson Heights, New York, registered in NPPES in November 2014. The authorized official on file is Liza Tan, President.
Overview
| NPI | 1093111023 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 19, 2014 |
| Last updated in NPPES | May 20, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
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