Roel Soberano Pecson, PHYSICAL THERAPIST
NPI 1104502541ActiveIndividual· Physical Therapist· Missouri City, TX
Physical Therapist (PHYSICAL THERAPIST) with Excell PT Inc, practicing in Missouri City, Texas. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1104502541 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICAL THERAPIST |
| Sole proprietor | Yes |
| NPI issued | Jun 22, 2023 |
| Last updated in NPPES | Jun 22, 2023 |
| Certified by provider | Jun 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1190236 | TX |
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) |
|---|
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Excell PT IncTomball, TX · 3 clinicians
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