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Elizabeth Agre, PT, DPT

NPI 1891268280ActiveIndividual· Physical Therapist· Fort Defiance, AZ

Physical Therapist (PT, DPT) in Fort Defiance, Arizona, licensed in OK and MD, with an NPI issued in January 2019. Enrolled in Medicare as practitioner - physical therapist in private practice and practitioner - physical therapist in private practice.

Overview

NPI1891268280
StatusActive
Entity typeIndividual
CredentialPT, DPT
Sole proprietorNo
NPI issuedJan 8, 2019
Last updated in NPPESMay 28, 2025
Certified by providerMay 16, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X5572OK
Physical Therapist225100000X27299MD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (OK); Practitioner - Physical Therapist in Private Practice (TX)

Medicare sources and data years

Other Physical Therapist providers in Fort Defiance

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