Patchogue-Medford PT & Chiropractic PLLC
NPI 1255703807ActiveOrganization· Physical Therapist· Patchogue, NY
Physical Therapist in Patchogue, New York, registered in NPPES in October 2015. The authorized official on file is Jack Tesoriero, DC, Managing Member.
Overview
| NPI | 1255703807 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 22, 2015 |
| Last updated in NPPES | Jan 6, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 025310 | NY |
| Chiropractor | 111N00000X | 004766 | NY |
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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