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360 Physical Therapy LLC

NPI 1619592995ActiveOrganization· Physical Therapist· Gilbert, AZ

Physical Therapist in Gilbert, Arizona, registered in NPPES in June 2020, part of 360 Physical Therapy LLC. The authorized official on file is Robert Pace, Owner, Coo.

Overview

NPI1619592995
StatusActive
Entity typeOrganization (subpart)
Parent organization360 Physical Therapy LLC
NPI issuedJun 11, 2020
Last updated in NPPESJun 20, 2022
Certified by providerJun 20, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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

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