Kinesio Physical Therapy and Sports Rehabilitation, LLC
NPI 1073936407ActiveOrganization· Physical Therapist· Severna Park, MD
Physical Therapist in Severna Park, Maryland, registered in NPPES in January 2014. The authorized official on file is Faith K. Hagerty, P.T., Managing Member. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1073936407 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 2014 |
| Last updated in NPPES | Jan 21, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 17817 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MD) |
|---|
Other Physical Therapist providers in Severna Park
- 1174977540
- 1821573643
- 1346622172
- 1548586076
- 1124172895
- 1487603064
- 1275684185
- 1467942847
- 1588402853
- 1750311908
- 1386407583
- 1780981357