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Professional Orthopedic and Sports Physical Therapy, PC

NPI 1467986372ActiveOrganization· Physical Therapist· Glendale, NY

Physical Therapist in Glendale, New York, registered in NPPES in April 2017. The authorized official on file is Kathleen Brush, Credentialing Manager.

Overview

NPI1467986372
StatusActive
Entity typeOrganization
NPI issuedApr 18, 2017
Last updated in NPPESApr 3, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physical Therapist providers in Glendale

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