Professional Orthopedic and Sports Physical Therapy PC
NPI 1770008906ActiveOrganization· Physical Therapist· Mount Kisco, NY
Physical Therapist in Mount Kisco, New York, registered in NPPES in August 2017. The authorized official on file is Kathleen Brush, Credentialing Manager.
Overview
| NPI | 1770008906 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 9, 2017 |
| Last updated in NPPES | Apr 2, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 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 |
|---|
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