Physiocare Physical Therapy and Sports Medicine, LLC
NPI 1649828005ActiveOrganization· Physical Therapist· East Lyme, CT
Physical Therapist in East Lyme, Connecticut, registered in NPPES in August 2019, part of Physiocare Physical Therapy and Sports Medicine, LLC. The authorized official on file is John Howard Bradford, DPT, Owner.
Overview
| NPI | 1649828005 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Physiocare Physical Therapy and Sports Medicine, LLC |
| NPI issued | Aug 29, 2019 |
| Last updated in NPPES | Aug 29, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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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