Conilogue PT LLC
NPI 1811451016ActiveOrganization· Physical Therapist· Fairfield, IA
Physical Therapist in Fairfield, Iowa, registered in NPPES in January 2019. The authorized official on file is Adam Conilogue, DPT, Managing Member. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1811451016 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2019 |
| Last updated in NPPES | Mar 6, 2026 |
| Certified by provider | Mar 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
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) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (IA) |
|---|
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