Civista Medical Center, Inc.
NPI 1689071219ActiveOrganization· Physical Therapist· La Plata, MD
Physical Therapist in La Plata, Maryland, registered in NPPES in November 2014, part of Civista Medical Center, Inc. DBA Um Crmc. The authorized official on file is Joseph Moser, Chief Medical Officer.
Overview
| NPI | 1689071219 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Civista Medical Center, Inc. DBA Um Crmc |
| NPI issued | Nov 25, 2014 |
| Last updated in NPPES | Feb 17, 2021 |
| Certified by provider | Feb 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | MD |
| Occupational Therapist | 225X00000X | — | MD |
| Speech-Language Pathologist | 235Z00000X | — | MD |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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