Professional Rehab Associates
NPI 1801192307ActiveOrganization· Physical Therapist· McComb, MS
Physical Therapist in McComb, Mississippi, registered in NPPES in January 2011. The authorized official on file is Brad Wilson, DPT, ATC, President. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - clinic/group practice.
Overview
| NPI | 1801192307 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2011 |
| Last updated in NPPES | Jun 4, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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 DME Supplier - Independently-Practicing Physical Therapist (MS); Part B Supplier - Clinic/Group Practice (MS) |
|---|
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