Pro Perform Spinal Health & Rehab LLC
NPI 1912458621ActiveOrganization· Preferred Provider Organization· Oxon Hill, MD
Preferred Provider Organization in Oxon Hill, Maryland, registered in NPPES in October 2016. The authorized official on file is Simone Simmons, Office Manager.
Overview
| NPI | 1912458621 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2016 |
| Last updated in NPPES | Feb 28, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | S03581 | MD |
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 |
|---|