Elite Sports, Inc.
NPI 1093811408ActiveOrganization· Physical Therapist· Stoughton, MA
Physical Therapist in Stoughton, Massachusetts, registered in NPPES in September 2006. The authorized official on file is Keith Edward Callanan, MPT, President. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1093811408 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 15, 2006 |
| Last updated in NPPES | Jul 12, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 51 | MA |
| Occupational Therapist | 225X00000X | 51 | MA |
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) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MA) |
|---|
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