Pro Sports Therapy, Inc.
NPI 1780661090ActiveOrganization· Physical Therapist· Waltham, MA
Physical Therapist in Waltham, Massachusetts, registered in NPPES in December 2005. The authorized official on file is Donald Worden, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780661090 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 28, 2005 |
| Last updated in NPPES | Apr 10, 2026 |
| Certified by provider | Apr 10, 2026 |
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 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) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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