Lovely Rose Ponce Patarata, PHYSICAL THERAPIST
NPI 1104596832ActiveIndividual· Physical Therapist· Demopolis, AL
Physical Therapist (PHYSICAL THERAPIST) in Demopolis, Alabama, licensed in AL, with an NPI issued in September 2021. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1104596832 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICAL THERAPIST |
| Sole proprietor | Yes |
| NPI issued | Sep 14, 2021 |
| Last updated in NPPES | Sep 14, 2021 |
| Certified by provider | Sep 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PTH10423 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AL) |
|---|
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