Paragon Rehab, LLC
NPI 1790074631ActiveOrganization· Physical Therapy Assistant· Liberty, MS
Physical Therapy Assistant in Liberty, Mississippi, registered in NPPES in March 2011, part of Clc of Liberty, LLC. The authorized official on file is Sally McCoy, Administrator.
Overview
| NPI | 1790074631 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Clc of Liberty, LLC |
| NPI issued | Mar 31, 2011 |
| Last updated in NPPES | Mar 31, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | PTA 4044 | MS |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapy Assistant providers in Liberty
- 1851095798
- 1790079143