115 East Melrose Avenue Operations LLC
NPI 1235583600ActiveOrganization· Physical Therapist· Baltimore, MD
Physical Therapist in Baltimore, Maryland, registered in NPPES in April 2016. The authorized official on file is Michael T. Berg, Assistant Secretary.
Overview
| NPI | 1235583600 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2016 |
| Last updated in NPPES | Sep 7, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 30044 | MD |
| Occupational Therapist | 225X00000X | 30044 | MD |
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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