Professional Orthopedic and Sports Physical Therapy of Nj, LLC
NPI 1396291175ActiveOrganization· Physical Therapist· Newark, NJ
Physical Therapist in Newark, New Jersey, registered in NPPES in August 2016, part of Professional Orthopedic and Sports Physical Therapy, P.C. The authorized official on file is Kathleen Brush, Credentialing Coordinator Manager.
Overview
| NPI | 1396291175 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Professional Orthopedic and Sports Physical Therapy, P.C. |
| NPI issued | Aug 31, 2016 |
| Last updated in NPPES | Mar 28, 2018 |
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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