Summit Physical Therapy and Sports Care, LLC
NPI 1154743763ActiveOrganization· Physical Therapist· Montvale, NJ
Physical Therapist in Montvale, New Jersey, registered in NPPES in January 2014. The authorized official on file is Ralph Desiderio, PT, Managing Member.
Overview
| NPI | 1154743763 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 16, 2014 |
| Last updated in NPPES | Jun 16, 2014 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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