Clinton Melliza Magno
NPI 1487369229ActiveIndividual· Physical Therapist· Beloit, WI
Physical Therapist in Beloit, Wisconsin, licensed in WI, NY and MA, with an NPI issued in January 2023.
Overview
| NPI | 1487369229 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 17, 2023 |
| Last updated in NPPES | Jan 17, 2023 |
| Certified by provider | Jan 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 14502-24 | WI |
| Physical Therapist | 225100000X | 042424-01 | NY |
| Physical Therapist | 225100000X | 24302 | MA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 29 physical therapists in Beloit · All physical therapists in Wisconsin