Maryland Sportscare & Rehab, LLC
NPI 1386191310ActiveOrganization· Physical Therapist· Ellicott City, MD
Physical Therapist in Ellicott City, Maryland, registered in NPPES in September 2016. The authorized official on file is Tasheda Broughton, PESC, Manager, Credentialing.
Overview
| NPI | 1386191310 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2016 |
| Last updated in NPPES | Nov 1, 2024 |
| Certified by provider | Oct 23, 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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