Mariel De Vera Visconde, RPT
NPI 1629323696ActiveIndividual· Physical Therapist· Zion, IL
Physical Therapist (RPT) in Zion, Illinois, licensed in IL, with an NPI issued in July 2012. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1629323696 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPT |
| Sole proprietor | Yes |
| NPI issued | Jul 16, 2012 |
| Last updated in NPPES | Oct 13, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070018847 | IL |
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 Practitioner - Physical Therapist in Private Practice (IL) |
|---|
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