Jade Trade Inc.
NPI 1578753836ActiveOrganization· Physical Therapist· Portland, ME
Physical Therapist in Portland, Maine, registered in NPPES in August 2007. The authorized official on file is Kesia Campbell, Billing Specialist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1578753836 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 1, 2007 |
| Last updated in NPPES | Sep 18, 2025 |
| Certified by provider | Sep 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT2432 | — |
| Acupuncturist | 171100000X | AC200 | ME |
| Massage Therapist | 225700000X | MT1458 | ME |
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 - Physical/Occupational Therapy Group in Private Practice (ME) |
|---|
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