Roger Lee Gully, CERTIFIED REHAB THER
NPI 1174539944ActiveIndividual· Rehabilitation Practitioner· Clifton, NJ
Rehabilitation Practitioner (CERTIFIED REHAB THER) in Clifton, New Jersey, licensed in NJ, with an NPI issued in July 2006.
Overview
| NPI | 1174539944 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CERTIFIED REHAB THER |
| Sole proprietor | Yes |
| NPI issued | Jul 31, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | 26BT00004800 | NJ |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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