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Carly Moreau

NPI 1114220993ActiveIndividual· Physical Therapy Assistant· Summit, MS

Physical Therapy Assistant in Summit, Mississippi, licensed in TX, with an NPI issued in December 2010.

Overview

NPI1114220993
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedDec 16, 2010
Last updated in NPPESDec 16, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary225200000X2075580TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physical Therapy Assistant providers in Summit

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