Final Form Physical Therapy LLC
NPI 1174161855ActiveOrganization· Physical Therapist· Lanham, MD
Physical Therapist in Lanham, Maryland, registered in NPPES in December 2019. The authorized official on file is Sean O. Ekekwe, Ceo. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1174161855 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2019 |
| Last updated in NPPES | Feb 17, 2020 |
| Certified by provider | Feb 17, 2020 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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