Latitude Physical Therapy
NPI 1326816992ActiveOrganization· Physical Therapist· Sag Harbor, NY
Physical Therapist in Sag Harbor, New York, registered in NPPES in December 2023. The authorized official on file is George Jay Wilson, Ceo. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1326816992 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2023 |
| Last updated in NPPES | Feb 9, 2024 |
| Certified by provider | Feb 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NY) |
|---|
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