Pro Performance Physical Therapy and Wellness, PLLC
NPI 1821262809ActiveOrganization· Physical Therapist, Orthopedic· Glen Cove, NY
Physical Therapist, Orthopedic in Glen Cove, New York, registered in NPPES in April 2008. The authorized official on file is Jonathan A. Venegas, PT, Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821262809 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2008 |
| Last updated in NPPES | Oct 1, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | 015585-1 | NY |
| Physical Therapist, Neurology | 2251N0400X | 015585-1 | NY |
| Physical Therapist, Sports | 2251S0007X | 015585-1 | NY |
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 Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other orthopedic physical therapists in Glen Cove
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