Jeffrey Lum, PT, MPT, DIP MDT
NPI 1104069913ActiveIndividual· Physical Therapist· Georgetown, TX
Physical Therapist (PT, MPT, DIP MDT) in Georgetown, Texas, licensed in TX and CA, with an NPI issued in April 2009. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1104069913 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, MPT, DIP MDT |
| Sole proprietor | Yes |
| NPI issued | Apr 8, 2009 |
| Last updated in NPPES | Nov 20, 2020 |
| Certified by provider | Nov 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1249361 | TX |
| Physical Therapist | 225100000X | PT35353 | CA |
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 - Physical Therapist in Private Practice (TX) |
|---|
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