Professional Orthopedic and Sports Therapy of Nj, LLC
NPI 1205316528ActiveOrganization· Physical Therapist· Fort Lee, NJ
Physical Therapist in Fort Lee, New Jersey, registered in NPPES in August 2018, part of Professional Orthopedic and Sports Physical Therapy, P.C. The authorized official on file is Kathleen Brush, Credentialing Manager.
Overview
| NPI | 1205316528 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Professional Orthopedic and Sports Physical Therapy, P.C. |
| NPI issued | Aug 16, 2018 |
| Last updated in NPPES | Aug 16, 2018 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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