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El Paso Back in Action Therapy, LLC

NPI 1194606293ActiveOrganization· Physical Therapist· El Paso, TX

Physical Therapist in El Paso, Texas, registered in NPPES in September 2025. The authorized official on file is Derek Halladay, Managing Member. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.

Overview

NPI1194606293
StatusActive
Entity typeOrganization
NPI issuedSep 8, 2025
Last updated in NPPESOct 30, 2025
Certified by providerOct 30, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

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)Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (TX)

Medicare sources and data years

Other Physical Therapist providers in El Paso

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