Indigo Aquatic Therapy LLC
NPI 1972936417ActiveOrganization· Physical Therapist· Hawthorne, NJ
Physical Therapist in Hawthorne, New Jersey, registered in NPPES in August 2013. The authorized official on file is Stacey O'Connor, DPT, Sole Member.
Overview
| NPI | 1972936417 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2013 |
| Last updated in NPPES | Jan 24, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA01348800 | NJ |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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