Longevity Management Group, LLC
NPI 1922438886ActiveOrganization· Specialist· Apple Valley, CA
Specialist in Apple Valley, California, registered in NPPES in November 2013. The authorized official on file is Christina Brodbeck, PHYSICAL THERAPIST, Director.
Overview
| NPI | 1922438886 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2013 |
| Last updated in NPPES | Nov 13, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | PT 26869 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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