Broad River Rehabilitation
NPI 1902317589ActiveOrganization· Occupational Therapist· Charlotte, NC
Occupational Therapist in Charlotte, North Carolina, registered in NPPES in October 2017. The authorized official on file is Manning McGraw, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1902317589 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2017 |
| Last updated in NPPES | Nov 28, 2022 |
| Certified by provider | Nov 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (GA); Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services (NC); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NC); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (OK); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (SC); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (TN); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (WI); Part B Supplier - Clinic/Group Practice (WV) |
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