Edge Physical Therapy and Sports Medicine LLC
NPI 1467828301ActiveOrganization· Physical Therapist· Paramus, NJ
Physical Therapist in Paramus, New Jersey, registered in NPPES in August 2015. The authorized official on file is Lawrence Kim, PT, DPT, OCS, Managing Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1467828301 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2015 |
| Last updated in NPPES | Aug 14, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA01510100 | NJ |
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) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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