Angela Dora Avalos, PT, MPT
NPI 1619170115ActiveIndividual· Physical Therapist· Grand Forks, ND
Physical Therapist (PT, MPT) with Suedel Therapeutics PLLC, practicing in Grand Forks, North Dakota. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1619170115 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, MPT |
| Sole proprietor | No |
| NPI issued | Jun 11, 2007 |
| Last updated in NPPES | Sep 14, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1280 | ND |
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 (ND) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Suedel Therapeutics PLLCGrand Forks, ND · 3 clinicians
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