PROFESSIONAL SPORTSCARE & REHAB, LLC

NPI: 1689176364 · LEXINGTON PARK, MD 20653 · Physical Therapist · NPI assigned 03/08/2018

$103K

Total Medicaid Paid

3,345

Total Claims

1,187

Beneficiaries

Codes Billed

2022-05

First Month

2024-11

Last Month

Provider Details

Authorized Official	GRANADOS, JUANA (MANAGER, CREDENTIALING)
NPI Enumeration Date	03/08/2018

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
MARYLAND SPORTSCARE & REHAB, LLC	TANEYTOWN	MD	$8K
PROFESSIONAL SPORTSCARE & REHAB, LLC	CHESAPEAKE BEACH	MD	$770.82

Code	Description	Claims	Beneficiaries	Total Paid
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	1,329	426	$36K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	991	387	$34K
97530	Therapeutic activities, direct patient contact, each 15 minutes	945	302	$29K
97162		60	60	$4K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	20	12	$398.17