Revamp Physical Therapy
NPI 1366292427ActiveOrganization· Physical Therapist· Woodbridge, VA
Physical Therapist in Woodbridge, Virginia, registered in NPPES in March 2024. The authorized official on file is Sonia Borges, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1366292427 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2024 |
| Last updated in NPPES | Mar 22, 2024 |
| Certified by provider | Mar 22, 2024 |
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 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 - Physical/Occupational Therapy Group in Private Practice (VA) |
|---|
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