Sportsmed PT of Connecticut PLLC
NPI 1609441534ActiveOrganization· Physical Therapist· Bridgeport, CT
Physical Therapist in Bridgeport, Connecticut, registered in NPPES in May 2021. The authorized official on file is Carol Azar, RN, BSN, Vp Of Rcm. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609441534 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 24, 2021 |
| Last updated in NPPES | May 24, 2021 |
| Certified by provider | May 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Chiropractor | 111N00000X | — | — |
| Acupuncturist | 171100000X | — | — |
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 (CT) |
|---|
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