Professional Orthopedic and Sports Physical Therapy of Nj, LLC
NPI 1093162422ActiveOrganization· Physical Therapist· Nutley, NJ
Physical Therapist in Nutley, New Jersey, registered in NPPES in May 2016, part of Professional Orthopedic and Sports Physical Therapy, P.C. The authorized official on file is Kathleen Brush, Credentialing Coordinator Manager.
Overview
| NPI | 1093162422 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Professional Orthopedic and Sports Physical Therapy, P.C. |
| NPI issued | May 16, 2016 |
| Last updated in NPPES | Mar 28, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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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