Professional Orthopedic and Sports Physical Therapy, P.C.
NPI 1790296135ActiveOrganization· Physical Therapist· Bay Shore, NY
Physical Therapist in Bay Shore, New York, registered in NPPES in October 2017. The authorized official on file is Kathleen Brush, Credentialing Manager.
Overview
| NPI | 1790296135 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 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 · 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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