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NPI 1861086167ActiveOrganization· Physical Therapist· Kearney, MO
Physical Therapist in Kearney, Missouri, registered in NPPES in February 2021. The authorized official on file is Peter J. Trujillo, DPT, Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1861086167 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2021 |
| Last updated in NPPES | Feb 26, 2021 |
| Certified by provider | Feb 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 - Physical/Occupational Therapy Group in Private Practice (MO) |
|---|
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