Bayside Physical Therpay and Sports Rehabilitation, Inc
NPI 1114096880ActiveOrganization· Occupational Therapist· Edgewater, MD
Occupational Therapist in Edgewater, Maryland, registered in NPPES in November 2006. The authorized official on file is Kevin C. Wrenn, D.P.T., Vice President.
Overview
| NPI | 1114096880 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
| Physical Therapist | 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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