Broadway Physical Therapy & Sports Rehab LLC
NPI 1326185950ActiveOrganization· Specialist· Portland, OR
Specialist in Portland, Oregon, registered in NPPES in January 2007. The authorized official on file is Ellen R. Grover, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1326185950 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2007 |
| Last updated in NPPES | Feb 13, 2026 |
| Certified by provider | Feb 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 2270 | OR |
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) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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