Professional Orthopedic and Sports Physical Therapy PC
NPI 1205246428ActiveOrganization· Physical Therapist· Kew Gardens, NY
Physical Therapist in Kew Gardens, New York, registered in NPPES in April 2014. The authorized official on file is Leticia Pabellon, Vp Of Administrative Operations.
Overview
| NPI | 1205246428 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 28, 2014 |
| Last updated in NPPES | Mar 29, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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