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NPI 1275300261ActiveOrganization· Physical Therapist· Aliso Viejo, CA
Physical Therapist in Aliso Viejo, California, registered in NPPES in December 2023. The authorized official on file is Raymond Benjamin Raven, Ceo And Managing Partner. Enrolled in Medicare as dme supplier - multi-specialty - physician.
Overview
| NPI | 1275300261 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 8, 2023 |
| Last updated in NPPES | Dec 8, 2023 |
| Certified by provider | Dec 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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 DME Supplier - Multi-Specialty - Physician (CA) |
|---|
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