At Home Physical Rehabilitation Group, LLC
NPI 1558901736ActiveOrganization· Physical Therapist· Cordova, TN
Physical Therapist in Cordova, Tennessee, registered in NPPES in January 2020. The authorized official on file is Roque Flestado Estipona, PT, DPT, Ceo/Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558901736 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2020 |
| Last updated in NPPES | Jan 15, 2020 |
| Certified by provider | Jan 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapy Assistant | 224Z00000X | — | — |
| Physical Therapy Assistant | 225200000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Home Health | 251E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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