Liberated Rehabilitation, PLLC
NPI 1306469374ActiveOrganization· Physical Therapist· Maricopa, AZ
Physical Therapist in Maricopa, Arizona, registered in NPPES in May 2020. The authorized official on file is Jeffrey Nicholson, DPT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306469374 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 25, 2020 |
| Last updated in NPPES | May 25, 2020 |
| Certified by provider | May 25, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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