Jag-One Physical Therapy, LLC
NPI 1518017144ActiveOrganization· Physical Therapist· West Orange, NJ
Physical Therapist in West Orange, New Jersey, registered in NPPES in January 2007. The authorized official on file is John Anthony Gallucci, MSPT, Owner. Enrolled in Medicare as dme supplier - independently-practicing occupational therapist and part b supplier - clinic/group practice.
Overview
| NPI | 1518017144 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2007 |
| Last updated in NPPES | Aug 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA01172700 | NJ |
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 DME Supplier - Independently-Practicing Occupational Therapist (NJ); Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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