Elata Health and Wellness, LLC
NPI 1417311028ActiveOrganization· Physical Therapist· McKinney, TX
Physical Therapist in McKinney, Texas, registered in NPPES in April 2016. The authorized official on file is Maria Catherine Yazon Custodio, PT, Pt/Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1417311028 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 9, 2016 |
| Last updated in NPPES | Oct 14, 2022 |
| Certified by provider | Oct 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
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 (TX) |
|---|
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