Netherine S Physical Therapy Pelvic Floor and Wellness P C
NPI 1326742669ActiveOrganization· Physical Therapist· Jacksonville, IL
Physical Therapist in Jacksonville, Illinois, registered in NPPES in March 2023. The authorized official on file is Netherine Lann Agsalda, PT, DPT, CMTPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1326742669 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2023 |
| Last updated in NPPES | Mar 29, 2023 |
| Certified by provider | Mar 29, 2023 |
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 - Physical/Occupational Therapy Group in Private Practice (IL) |
|---|
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