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Axis Physiotherapy Institute, LLC

NPI 1790328045ActiveOrganization· Physical Therapist· Fort Walton Beach, FL

Physical Therapist in Fort Walton Beach, Florida, registered in NPPES in October 2019. The authorized official on file is Matthew Leary, DPT, ATC, Co-Owner/ Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.

Overview

NPI1790328045
StatusActive
Entity typeOrganization
NPI issuedOct 18, 2019
Last updated in NPPESOct 23, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

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 Part B Supplier - Physical/Occupational Therapy Group in Private Practice (FL)

Medicare sources and data years

Other physical therapists in Fort Walton Beach

All 74 physical therapists in Fort Walton Beach · All physical therapists in Florida