Custom P.T., A Physical Therapy Corp
NPI 1639107626ActiveOrganization· Physical Therapist, Orthopedic· Thousand Oaks, CA
Physical Therapist, Orthopedic in Thousand Oaks, California, registered in NPPES in June 2006. The authorized official on file is Linda Paolone, Operations Manager. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1639107626 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2006 |
| Last updated in NPPES | Nov 7, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | PT20094 | CA |
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 - Physical/Occupational Therapy Group in Private Practice (CA) |
|---|
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