Sand Coast Rehab Physical Therapy Inc
NPI 1639766603ActiveOrganization· Physical Therapist· Lakewood, NJ
Physical Therapist in Lakewood, New Jersey, registered in NPPES in December 2020. The authorized official on file is Eliezer Friedman, President. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice and part b supplier - clinic/group practice.
Overview
| NPI | 1639766603 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 24, 2020 |
| Last updated in NPPES | Dec 25, 2024 |
| Certified by provider | Dec 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 (CA); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (WA) |
|---|
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