Clinical Fitness 101 Corp
NPI 1457058802ActiveOrganization· Physical Therapist· Lake Worth, FL
Physical Therapist in Lake Worth, Florida, registered in NPPES in February 2023. The authorized official on file is Jose L. Matta, DPT, Founder/Ceo. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1457058802 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 15, 2023 |
| Last updated in NPPES | May 22, 2023 |
| Certified by provider | May 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Physical Therapy Assistant | 225200000X | — | — |
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 (FL) |
|---|
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