Prime Active Physical Therapy, Inc.
NPI 1699390187ActiveOrganization· Physical Therapist· Fullerton, CA
Physical Therapist in Fullerton, California, registered in NPPES in June 2020. The authorized official on file is Maricar Fanuga, PT, Ceo.
Overview
| NPI | 1699390187 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2020 |
| Last updated in NPPES | Jun 10, 2020 |
| Certified by provider | Jun 10, 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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