Maryland Sportscare & Rehab, LLC
NPI 1407212814ActiveOrganization· Physical Therapist· Mount Airy, MD
Physical Therapist in Mount Airy, Maryland, registered in NPPES in January 2016. The authorized official on file is Tasheda Broughton, PESC, Manager, Credentialing.
Overview
| NPI | 1407212814 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 14, 2016 |
| Last updated in NPPES | Oct 23, 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 · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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