New Form Physical Therapy and Wellness Center P.A.
NPI 1487028874ActiveOrganization· Physical Therapist· Aventura, FL
Physical Therapist in Aventura, Florida, registered in NPPES in November 2015. The authorized official on file is Simone Salles, PT, MSPT, DPT, Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1487028874 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 23, 2015 |
| Last updated in NPPES | Sep 1, 2023 |
| Certified by provider | Sep 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT23183 | FL |
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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