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NPI 1770959645ActiveIndividual· Physical Therapist· Indian Harbour Beach, FL

Physical Therapist in Indian Harbour Beach, Florida, licensed in FL, with an NPI issued in August 2015. Medicare paid $87,154 for services to 109 patients in 2024.

Overview

NPI1770959645
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 14, 2015
Last updated in NPPESAug 14, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000XPT-30556FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (FL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients109
Services billed4,046 across 9 procedure codes
Paid by Medicare$87,154

Medicare sources and data years

Other physical therapists in Indian Harbour Beach

All 26 physical therapists in Indian Harbour Beach · All physical therapists in Florida