Form and Motion Physical Therapy, LLC
NPI 1073893699ActiveOrganization· Physical Therapist· Annapolis, MD
Physical Therapist in Annapolis, Maryland, registered in NPPES in August 2011. The authorized official on file is Ingrid Pailthorp, Owner And Physical Therapist.
Overview
| NPI | 1073893699 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 26, 2011 |
| Last updated in NPPES | Aug 26, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 23736 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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