Max Performance Physical Therapy and Sports Rehab, LLC
NPI 1508928300ActiveOrganization· Physical Therapist· Shelbyville, KY
Physical Therapist in Shelbyville, Kentucky, registered in NPPES in December 2006. The authorized official on file is Alice Creque, MSPT, Director Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508928300 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 15, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 004464 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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