Professional Sportscare & Rehab, LLC
NPI 1043677313ActiveOrganization· Physical Therapist· Chesapeake Beach, MD
Physical Therapist in Chesapeake Beach, Maryland, registered in NPPES in January 2016. The authorized official on file is Juana Granados, Credentialing Director.
Overview
| NPI | 1043677313 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2016 |
| Last updated in NPPES | Oct 1, 2025 |
| Certified by provider | Oct 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 |
|---|
Other physical therapists in Chesapeake Beach
- 1073379954
- 1164590295
- 1326401894
- 1528665262
- 1740004027
- 1841569803
- 1417438474
- 1780747998
- 1942859491
- 1487100574