South Shore Medical Center, Inc
NPI 1639763345ActiveOrganization· Physical Therapist· Norwell, MA
Physical Therapist in Norwell, Massachusetts, registered in NPPES in February 2021, part of South Shore Medical Center, Inc. The authorized official on file is Jaclyn Valanzola, Enrollment Supervisor.
Overview
| NPI | 1639763345 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | South Shore Medical Center, Inc |
| NPI issued | Feb 23, 2021 |
| Last updated in NPPES | Jan 23, 2024 |
| Certified by provider | Jan 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Physical Therapy Assistant | 225200000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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