Achieve Physical Therapy and Sports Rehab, LLC
NPI 1871677294ActiveOrganization· Physical Therapist· Grand Rapids, MI
Physical Therapist in Grand Rapids, Michigan, registered in NPPES in October 2006. The authorized official on file is Jerome Broderick, P.T., P.T. , Owner.
Overview
| NPI | 1871677294 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2006 |
| Last updated in NPPES | Sep 29, 2008 |
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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