Sports Pro Physical Therapy South LLC
NPI 1124438700ActiveOrganization· Physical Therapist· Fort Washington, MD
Physical Therapist in Fort Washington, Maryland, registered in NPPES in May 2014, part of Sports Pro Physical Therapy LLC. The authorized official on file is Daryl Andrew Clarke, PT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1124438700 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Sports Pro Physical Therapy LLC |
| NPI issued | May 5, 2014 |
| Last updated in NPPES | May 5, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 18090 | MD |
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 (DC) |
|---|
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