Sports Physical Therapy & Rehab Specialists, S.C.
NPI 1326150624ActiveOrganization· Physical Therapist· Kenosha, WI
Physical Therapist in Kenosha, Wisconsin, registered in NPPES in August 2006. The authorized official on file is Juana L. Fernandez, Credentialing Manager.
Overview
| NPI | 1326150624 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Jan 11, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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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