Proactive Therapy, LLC
NPI 1023040128ActiveOrganization· Physical Therapist· Baltimore, MD
Physical Therapist in Baltimore, Maryland, registered in NPPES in July 2006. The authorized official on file is Terrell D. Trent, OT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023040128 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 7, 2006 |
| Last updated in NPPES | May 11, 2022 |
| Certified by provider | May 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 17825 | MD |
| Occupational Therapist | 225X00000X | 04737 | MD |
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 - Clinic/Group Practice (MD) |
|---|
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