Ergo Occmed LLC
NPI 1720312903ActiveOrganization· Physical Therapist· Oxon Hill, MD
Physical Therapist in Oxon Hill, Maryland, registered in NPPES in September 2009, part of Ergo Occmed LLC. The authorized official on file is Olu Peter Ezeani, Owner/Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720312903 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ergo Occmed LLC |
| NPI issued | Sep 22, 2009 |
| Last updated in NPPES | Mar 9, 2026 |
| Certified by provider | Mar 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 19226 | MD |
| Physical Therapist | 225100000X | PT870468 | DC |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
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 - Clinic/Group Practice (DC) |
|---|
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