Sport Clinic Inc
NPI 1497771901ActiveOrganization· Physical Therapist· Fremont, CA
Physical Therapist in Fremont, California, registered in NPPES in July 2006. The authorized official on file is Darryl Lance Lopez, PT, Vice President Sercetary.
Overview
| NPI | 1497771901 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2006 |
| Last updated in NPPES | Mar 18, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT18871 | CA |
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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