Prestige Sports and Regenerative Medicine LLC
NPI 1750100723ActiveOrganization· Physical Therapist· Ft Lauderdale, FL
Physical Therapist in Ft Lauderdale, Florida, registered in NPPES in October 2024. The authorized official on file is Emir Khattak, Credentialing Manager.
Overview
| NPI | 1750100723 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2024 |
| Last updated in NPPES | Oct 14, 2024 |
| Certified by provider | Oct 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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