Fabian Azofeifa, PT
NPI 1790399434ActiveIndividual· Physical Therapist· Augusta, GA
Physical Therapist (PT) with Proactive Rehabilitation and Wellness LLC and 1 other group, practicing in Augusta, Georgia. Medicare paid $90,026 for services to 156 patients in 2024.
Overview
| NPI | 1790399434 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Sep 1, 2020 |
| Last updated in NPPES | Sep 9, 2025 |
| Certified by provider | Sep 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 10775 | SC |
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 | — |
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Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (GA); Practitioner - Physical Therapist in Private Practice (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 156 |
|---|---|
| Services billed | 4,312 across 8 procedure codes |
| Paid by Medicare | $90,026 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Proactive Rehabilitation and Wellness LLCAugusta, GA · 9 clinicians
- Horizon Physical Therapy and WellnessNorth Augusta, SC · 2 clinicians
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All 196 physical therapists in Augusta · All physical therapists in Georgia