Liza Black
NPI 1972049153ActiveIndividual· Physical Therapist· Edgewood, NM
Physical Therapist in Edgewood, New Mexico, licensed in NM, with an NPI issued in January 2017.
Overview
| NPI | 1972049153 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 12, 2017 |
| Last updated in NPPES | Jan 12, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2936 | NM |
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 |
|---|
Other Physical Therapist providers in Edgewood
- 1821270828
- 1982913851
- 1649029000
- 1669550604
- 1609028281
- 1699810267
- 1720640105
- 1992137392
- 1669967048
- 1033284674
- 1760145676
- 1023790623