Maryland Sportscare & Rehab LLC
NPI 1780459164ActiveOrganization· Physical Therapist· Ellicott City, MD
Physical Therapist in Ellicott City, Maryland, registered in NPPES in November 2023. The authorized official on file is Tasheda Broughton, PESC, Credentialing Manager.
Overview
| NPI | 1780459164 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2023 |
| Last updated in NPPES | Nov 1, 2024 |
| Certified by provider | Nov 1, 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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