Agility Physical Therapy & Sports Performance, LLC
NPI 1154640027ActiveOrganization· Physical Therapist· Venice, FL
Physical Therapist in Venice, Florida, registered in NPPES in May 2010. The authorized official on file is Alan Daniel Dalton, MPT, OCS, Manager. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1154640027 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2010 |
| Last updated in NPPES | Sep 18, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 Part B Supplier - Physical/Occupational Therapy Group in Private Practice (FL) |
|---|
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