Advance Physical Therapy, P.C.
NPI 1417093618ActiveOrganization· Physical Therapist· Wantagh, NY
Physical Therapist in Wantagh, New York, registered in NPPES in January 2007. The authorized official on file is Theresa Fetten, Managing Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417093618 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
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 - Clinic/Group Practice (NY) |
|---|
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