PROFESSIONAL SPORTSCARE & REHAB, LLC

NPI: 1043677313 · CHESAPEAKE BEACH, MD 20732 · Physical Therapist · NPI assigned 01/18/2016

$770.82

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2023-08

First Month

2023-08

Last Month

Provider Details

Authorized Official	GRANADOS, JUANA (CREDENTIALING DIRECTOR)
NPI Enumeration Date	01/18/2016

Other providers sharing the same authorized official: GRANADOS, JUANA

Provider	City	State	Total Paid
DYNAMIC THERAPY SERVICES LLC	SEAFORD	DE	$12.85M
ATHLETICO LTD	OAK BROOK	IL	$11.67M
FARMINGTON PHYSICAL THERAPY, INC	OAK BROOK	IL	$3.41M
PIVOT PHYSICAL THERAPY OF PENNSYLVANIA, LLC	SOUTH ABINGTON TOWNSHIP	PA	$2.84M
PROFESSIONAL SPORTSCARE & REHAB, LLC	WINCHESTER	VA	$1.97M
MAXIMUM IMPACT PHYSICAL THERAPY SERVICES, LLC	TUCSON	AZ	$1.16M
MARYLAND SPORTSCARE & REHAB LLC	GERMANTOWN	MD	$166K
PROFESSIONAL SPORTSCARE & REHAB, LLC	LEXINGTON PARK	MD	$103K
MARYLAND SPORTSCARE & REHAB, LLC	TANEYTOWN	MD	$8K

Year	Claims	Total Paid
2023	28	$770.82

Code	Description	Claims	Beneficiaries	Total Paid
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	28	12	$770.82