Massapequa PT & Pta PLLC
NPI 1316246895ActiveOrganization· Physical Therapist· N Massapequa, NY
Physical Therapist in N Massapequa, New York, registered in NPPES in March 2011. The authorized official on file is John Douglas, PTA, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316246895 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2011 |
| Last updated in NPPES | Jun 12, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 024174-1 | NY |
| Physical Therapist, Geriatrics | 2251G0304X | 020281-1 | NY |
| Physical Therapist, Neurology | 2251N0400X | 020281-1 | NY |
| Physical Therapist, Sports | 2251S0007X | 024174-1 | NY |
| Physical Therapist, Orthopedic | 2251X0800X | 024174-1 | NY |
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 (NY) |
|---|
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