Eastern Shore Physical Therapy
NPI 1992838643ActiveOrganization· Physical Therapist· Linwood, NJ
Physical Therapist in Linwood, New Jersey, registered in NPPES in March 2007. The authorized official on file is Joseph Thomas Derosa, PT, President. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1992838643 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2007 |
| Last updated in NPPES | Sep 12, 2022 |
| Certified by provider | Sep 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA00872300 | NJ |
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 - Physical/Occupational Therapy Group in Private Practice (NJ) |
|---|
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