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Ian W. Mora, PT

NPI 1124306584ActiveIndividual· Physical Therapist· Grapevine, TX

Physical Therapist (PT) with Ideal Physical Therapy of Texas LLC, practicing in Grapevine, Texas. Medicare paid $17,541 for services to 29 patients in 2024.

Overview

NPI1124306584
StatusActive
Entity typeIndividual
CredentialPT
Sole proprietorNo
NPI issuedAug 2, 2011
Last updated in NPPESMar 20, 2024
Certified by providerMar 20, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——
Physical Therapist225100000X—TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (TX)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients29
Services billed790 across 10 procedure codes
Paid by Medicare$17,541

Medicare sources and data years

Education and affiliations

Graduation year2011
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

Other physical therapists in Grapevine

All 80 physical therapists in Grapevine · All physical therapists in Texas