Evidence Physical Therapy, LLC
NPI 1265162473ActiveOrganization· Physical Therapist· Glenn Dale, MD
Physical Therapist in Glenn Dale, Maryland, registered in NPPES in June 2022. The authorized official on file is Hassana Moses, SHRM-CP, Practice Administrator.
Overview
| NPI | 1265162473 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2022 |
| Last updated in NPPES | Jun 13, 2022 |
| Certified by provider | Jun 13, 2022 |
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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