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NPI 1649893603ActiveOrganization· Physical Therapist· East Patchogue, NY
Physical Therapist in East Patchogue, New York, registered in NPPES in May 2020. The authorized official on file is Loretta Marie Peck, PT, Physical Therapist/Owner.
Overview
| NPI | 1649893603 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2020 |
| Last updated in NPPES | May 26, 2020 |
| Certified by provider | May 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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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