Jaclyn McCullough, PT, DPT
NPI 1346822426ActiveIndividual· Physical Therapist· Montgomery, NY
Physical Therapist (PT, DPT) with Resolve Physical Therapy, P. C., practicing in Montgomery, New York. Medicare paid $17,057 for services to 31 patients in 2024.
Overview
| NPI | 1346822426 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Apr 27, 2021 |
| Last updated in NPPES | Mar 8, 2023 |
| Certified by provider | Mar 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | P20288 | NC |
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 Practitioner - Physical Therapist in Private Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 31 |
|---|---|
| Services billed | 766 across 7 procedure codes |
| Paid by Medicare | $17,057 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Resolve Physical Therapy, P. C.Montgomery, NY · 7 clinicians
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