Maryland Sportscare & Rehab LLC
NPI 1801411467ActiveOrganization· Physical Therapist· Berlin, MD
Physical Therapist in Berlin, Maryland, registered in NPPES in June 2020. The authorized official on file is Tasheda Broughton, PESC, Manager, Credentialing.
Overview
| NPI | 1801411467 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2020 |
| Last updated in NPPES | Nov 1, 2024 |
| Certified by provider | Oct 23, 2024 |
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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