56 West Frederick Street Operations LLC
NPI 1407200884ActiveOrganization· Physical Therapist· Walkersville, MD
Physical Therapist in Walkersville, Maryland, registered in NPPES in April 2016. The authorized official on file is Michael T. Berg, Assistant Secretary.
Overview
| NPI | 1407200884 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2016 |
| Last updated in NPPES | Aug 31, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 10015 | MD |
| Occupational Therapist | 225X00000X | 10015 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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