Go Stretch
NPI 1760092944ActiveOrganization· Rehabilitation Practitioner· Upper Marlboro, MD
Rehabilitation Practitioner in Upper Marlboro, Maryland, registered in NPPES in August 2020. The authorized official on file is Mikiela Re' Nelson, DPT, Doctor Of Physical Therapy.
Overview
| NPI | 1760092944 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 3, 2020 |
| Last updated in NPPES | Mar 20, 2025 |
| Certified by provider | Mar 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | — | — |
| Physical Therapist | 225100000X | — | — |
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 |
|---|
Other Rehabilitation Practitioner providers in Upper Marlboro
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