Ageless Physical Therapy PC
NPI 1245926187ActiveOrganization· Physical Medicine & Rehabilitation· Newport Beach, CA
Physical Medicine & Rehabilitation in Newport Beach, California, registered in NPPES in April 2023. The authorized official on file is Nader Theodory, PT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1245926187 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 13, 2023 |
| Last updated in NPPES | Aug 18, 2024 |
| Certified by provider | Aug 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | — | — |
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) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CA) |
|---|
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