California Aquatic Therapy & Wellness Center, Inc.
NPI 1558513010ActiveOrganization· Physical Therapist· Long Beach, CA
Physical Therapist in Long Beach, California, registered in NPPES in October 2008. The authorized official on file is Patricia G. Dixon, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558513010 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2008 |
| Last updated in NPPES | Jun 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Specialist | 174400000X | PT6921 | CA |
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 - Clinic/Group Practice (CA) |
|---|
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