Sports Medicine and Rehab Therapy Camden
NPI 1821796145ActiveOrganization· Physical Therapist· Kingsland, GA
Physical Therapist in Kingsland, Georgia, registered in NPPES in February 2023. The authorized official on file is Clayton Conners, PT, DPT, OCS, Physical Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821796145 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 16, 2023 |
| Last updated in NPPES | Oct 11, 2023 |
| Certified by provider | Oct 11, 2023 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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