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NPI 1386100451ActiveIndividual· Physical Therapist· West Haven, CT

Physical Therapist in West Haven, Connecticut, licensed in CT, with an NPI issued in February 2019.

Overview

NPI1386100451
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedFeb 14, 2019
Last updated in NPPESFeb 14, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X005122CT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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