Maryland Sportscare & Rehab LLC
NPI 1083120430ActiveOrganization· Physical Therapist· Frederick, MD
Physical Therapist in Frederick, Maryland, registered in NPPES in December 2017. The authorized official on file is Tasheda Broughton, PESC, Manager, Credentiali.
Overview
| NPI | 1083120430 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2017 |
| Last updated in NPPES | Nov 1, 2024 |
| Certified by provider | Nov 1, 2024 |
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 |
|---|
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