Professional Rehabilitation Associates, PSC
NPI 1669463170ActiveOrganization· Physical Therapist· Richmond, KY
Physical Therapist in Richmond, Kentucky, registered in NPPES in November 2005. The authorized official on file is Mark E. Brooks, PT, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1669463170 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2005 |
| Last updated in NPPES | Dec 2, 2025 |
| Certified by provider | Dec 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | KY |
| Physical Therapist, Electrophysiology, Clinical | 2251E1300X | — | 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 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 - Clinic/Group Practice (KY); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (TN) |
|---|
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