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Advanced Spine and Sports Therapy Center LLC

NPI 1033484621ActiveOrganization· Physical Therapist· Malvern, PA

Physical Therapist in Malvern, Pennsylvania, registered in NPPES in March 2012, part of Ruggiero Orthopaedic Associates, Ltd, P.C. The authorized official on file is Sandra Datil, Billing Manager.

Overview

NPI1033484621
StatusActive
Entity typeOrganization (subpart)
Parent organizationRuggiero Orthopaedic Associates, Ltd, P.C.
NPI issuedMar 14, 2012
Last updated in NPPESMar 14, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

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)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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