In-Home Physical Therapy PC
NPI 1588800874ActiveOrganization· Clinic/Center, Multi-Specialty· Encinitas, CA
Clinic/Center, Multi-Specialty in Encinitas, California, registered in NPPES in December 2008. The authorized official on file is James A. Prussack, PT, President, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588800874 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2008 |
| Last updated in NPPES | Jul 15, 2020 |
| Certified by provider | Jul 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | CA |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other Clinic/Center, Multi-Specialty providers in Encinitas
- 1831365139
- 1881913440
- 1902881063