Extreme Sports Medicine & Rehabilitation Inc
NPI 1215377569ActiveOrganization· Physical Therapist· Miami Lakes, FL
Physical Therapist in Miami Lakes, Florida, registered in NPPES in July 2013. The authorized official on file is Sean Williams, MPT, President. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1215377569 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2013 |
| Last updated in NPPES | Aug 14, 2019 |
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 (FL) |
|---|
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