Performance Physical Therapy and Sports Rehab Inc.
NPI 1215333554ActiveOrganization· Physical Therapist· Bangor, ME
Physical Therapist in Bangor, Maine, registered in NPPES in November 2014. The authorized official on file is Bradley Lawrence Libby, PT, DPT, Ceo/Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1215333554 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 14, 2014 |
| Last updated in NPPES | Nov 14, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT4035 | ME |
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 (ME) |
|---|
Other Physical Therapist providers in Bangor
- 1457421943
- 1790419976
- 1861522476
- 1134192040
- 1588268023
- 1144313081
- 1124771852
- 1023004165
- 1982790945
- 1124113345
- 1366340523
- 1174883839