Forma Pelvic Health and Wellness
NPI 1306563747ActiveOrganization· Occupational Therapist· Austin, TX
Occupational Therapist in Austin, Texas, registered in NPPES in October 2022. The authorized official on file is Jacqueline Madden, Occupational Therapist.
Overview
| NPI | 1306563747 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2022 |
| Last updated in NPPES | Oct 26, 2022 |
| Certified by provider | Oct 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
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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