Clyde James Pich Jr., PT
NPI 1821108853ActiveIndividual· Physical Therapist· Washington, MO
Physical Therapist (PT) with Axes Physical Therapy I, LLC, practicing in Washington, Missouri. Medicare paid $22,627 for services to 32 patients in 2024.
Overview
| NPI | 1821108853 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | Jul 14, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1999140691 | MO |
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 | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 1,142 across 12 procedure codes |
| Paid by Medicare | $22,627 |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Axes Physical Therapy I, LLCWashington, MO · 15 clinicians
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