Ericson N. Tabaco
NPI 1568707628ActiveIndividual· Physical Therapist· Lewes, DE
Physical Therapist with W A V E Physical Therapy LLC and 1 other group, practicing in Lewes, Delaware. Medicare paid $22,588 for services to 36 patients in 2024.
Overview
| NPI | 1568707628 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 30, 2012 |
| Last updated in NPPES | Nov 30, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | J10002324 | DE |
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 Practitioner - Physical Therapist in Private Practice (DE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 1,066 across 8 procedure codes |
| Paid by Medicare | $22,588 |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- W A V E Physical Therapy LLCLewes, DE · 6 clinicians
- Mabcf LLCMilford, DE · 5 clinicians
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