Jeanne Marie Santos Ubalde, PT, CLT
NPI 1386126233ActiveIndividual· Physical Therapist· Longview, TX
Physical Therapist (PT, CLT) with Ryan M Guillory MD PA, practicing in Longview, Texas. Medicare paid $94,580 for services to 169 patients in 2024.
Overview
| NPI | 1386126233 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, CLT |
| Sole proprietor | Yes |
| NPI issued | Sep 6, 2018 |
| Last updated in NPPES | Jan 5, 2022 |
| Certified by provider | Jan 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1210835 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 169 |
|---|---|
| Services billed | 4,701 across 8 procedure codes |
| Paid by Medicare | $94,580 |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Ryan M Guillory MD PALongview, TX · 6 clinicians
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All 79 physical therapists in Longview · All physical therapists in Texas