Brian Tababa, PT, DPT
NPI 1275076366ActiveIndividual· Physical Therapist· Union, NJ
Physical Therapist (PT, DPT) with Ivyrehab Network Inc and 1 other group, practicing in Union, New Jersey. Medicare paid $42,772 for services to 56 patients in 2024.
Overview
| NPI | 1275076366 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | Yes |
| NPI issued | Nov 22, 2016 |
| Last updated in NPPES | Nov 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA01705000 | 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) | Enrolled Practitioner - Physical Therapist in Private Practice (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 56 |
|---|---|
| Services billed | 1,925 across 9 procedure codes |
| Paid by Medicare | $42,772 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Ivyrehab Network IncVineland, NJ · 656 clinicians
- Life Home Therapy LLCLivingston, NJ · 55 clinicians
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