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Jessica Dyann Fambrough, PTA

NPI 1578074530ActiveIndividual· Physical Therapy Assistant· Wylie, TX

Physical Therapy Assistant (PTA) in Wylie, Texas, licensed in TX, with an NPI issued in October 2017.

Overview

NPI1578074530
StatusActive
Entity typeIndividual
CredentialPTA
Sole proprietorNo
NPI issuedOct 18, 2017
Last updated in NPPESOct 18, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary225200000X2131626TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physical Therapy Assistant providers in Wylie

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