Creekside Physical Therapy LLC
NPI 1154053544ActiveOrganization· Physical Therapist· Green Cove Springs, FL
Physical Therapist in Green Cove Springs, Florida, registered in NPPES in June 2022. The authorized official on file is Mary Markey, MPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1154053544 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 26, 2022 |
| Last updated in NPPES | Jun 26, 2022 |
| Certified by provider | Jun 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 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) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (FL) |
|---|
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