Edge Pro Sports Rehab Institute, LLC
NPI 1124519160ActiveOrganization· Physical Therapist· Paramus, NJ
Physical Therapist in Paramus, New Jersey, registered in NPPES in May 2018. The authorized official on file is Lawrence Kim, DPT, Managing Director.
Overview
| NPI | 1124519160 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 25, 2018 |
| Last updated in NPPES | Jul 19, 2021 |
| Certified by provider | Jul 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA01510100 | NJ |
| 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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