Socorro Physical Therapy Incorporated
NPI 1669498556ActiveOrganization· Physical Therapist· Socorro, NM
Physical Therapist in Socorro, New Mexico, registered in NPPES in July 2006. The authorized official on file is Kelby Heath Stephens, PT, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669498556 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2006 |
| Last updated in NPPES | Jun 30, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 3059 | NM |
| Occupational Therapist | 225X00000X | 2067 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NM) |
|---|
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