Physical Restoration and Sports Medicine LLC
NPI 1114257383ActiveOrganization· Physical Therapist· Sterling, VA
Physical Therapist in Sterling, Virginia, registered in NPPES in January 2010. The authorized official on file is Marc O. Meadows, PT, ATC, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1114257383 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2010 |
| Last updated in NPPES | Feb 29, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 (VA) |
|---|
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