Professional Sportscare & Rehab, Llc - Medicare Physical Therapist in Dunkirk, MD

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Professional Sportscare & Rehab, Llc is a medicare enrolled "Physical Therapist" provider in Dunkirk, Maryland. Their current practice location is 2987 Plaza Dr, Dunkirk, Maryland. You can reach out to their office (for appointments etc.) via phone at (919) 258-2714.

Professional Sportscare & Rehab, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Professional Sportscare & Rehab, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1033142294.

Contact Information

Professional Sportscare & Rehab, Llc
2987 Plaza Dr,
Dunkirk, MD 20754-2735
(919) 258-2714
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameProfessional Sportscare & Rehab, Llc
TypeFacility
SpecialityPhysical Therapist
Location2987 Plaza Dr, Dunkirk, Maryland
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033142294
  • Provider Enumeration Date: 07/09/2006
  • Last Update Date: 12/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335137363
  • Enrollment ID: O20130522000082

Medical Identifiers

Medical identifiers for Professional Sportscare & Rehab, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033142294NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Professional Sportscare & Rehab, Llc acts as a billing entity for following providers:
Provider NameJohn Broadway
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124099668
PECOS PAC ID: 8527056118
Enrollment ID: I20040503001414
Provider NameLindy Simmons Blain
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346444718
PECOS PAC ID: 8921026659
Enrollment ID: I20051110000497
Provider NameDonald G Heacock
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023022324
PECOS PAC ID: 4688560220
Enrollment ID: I20060125000300
Provider NameCharles Mutschler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326084237
PECOS PAC ID: 6002832656
Enrollment ID: I20080114000294
Provider NameLaura Liberatore Tallman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366468175
PECOS PAC ID: 6204888498
Enrollment ID: I20091230000220
Provider NameKevin Renee Colvin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609107598
PECOS PAC ID: 9032395249
Enrollment ID: I20110523000662
Provider NameKeith Rohr
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205932225
PECOS PAC ID: 1153315726
Enrollment ID: I20120120000043
Provider NameTakara D Hayward
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063646735
PECOS PAC ID: 4082874227
Enrollment ID: I20120327000386
Provider NameNicole M Vivlamore
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457602567
PECOS PAC ID: 3678723160
Enrollment ID: I20121018000222
Provider NameAmanda L Mallory
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336484617
PECOS PAC ID: 5496907420
Enrollment ID: I20121220000155
Provider NameKuang Hsieh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194062612
PECOS PAC ID: 7911151329
Enrollment ID: I20130213000206
Provider NameQuiana P Roberts
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083857163
PECOS PAC ID: 8921158411
Enrollment ID: I20140410000365
Provider NameArthur E Scofield
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043374101
PECOS PAC ID: 7416907167
Enrollment ID: I20140627001348
Provider NameTaylore Benton Hoffman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184057226
PECOS PAC ID: 2860618519
Enrollment ID: I20140801001013
Provider NameRyan J Orner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467851055
PECOS PAC ID: 3274855861
Enrollment ID: I20141210001532
Provider NameSaera H Brooks
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184816621
PECOS PAC ID: 1355562919
Enrollment ID: I20150511000143
Provider NameLoren Roberts
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619357431
PECOS PAC ID: 8426360587
Enrollment ID: I20150701001742
Provider NameBranden Donald Klahre
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124495346
PECOS PAC ID: 4385953454
Enrollment ID: I20151013000777
Provider NameSavannah Lambert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093183139
PECOS PAC ID: 9537464755
Enrollment ID: I20160226000448
Provider NameGwendolyn Redden
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326401894
PECOS PAC ID: 5092004390
Enrollment ID: I20160510000170
Provider NameAndrea Miller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568813335
PECOS PAC ID: 7911290424
Enrollment ID: I20160721000333
Provider NameVijiya S Rathod
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447608765
PECOS PAC ID: 9436444296
Enrollment ID: I20160818002170
Provider NameDenise Moon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770693293
PECOS PAC ID: 5092862789
Enrollment ID: I20170130000139
Provider NameKenneth A Embrack
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861555328
PECOS PAC ID: 2860768272
Enrollment ID: I20171030000788
Provider NameSimone Raisi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942712914
PECOS PAC ID: 3476810854
Enrollment ID: I20171127000466
Provider NameMichael S Lominac
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922554724
PECOS PAC ID: 9739468752
Enrollment ID: I20180130001390
Provider NameEric William Schuettenberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467851295
PECOS PAC ID: 0840512117
Enrollment ID: I20180404002304
Provider NameAmanda Boyle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568963304
PECOS PAC ID: 5698038230
Enrollment ID: I20180413000793
Provider NameWondwossen Mekbib
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811439797
PECOS PAC ID: 3375802572
Enrollment ID: I20180501002244
Provider NameMykeisha L Young
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144727041
PECOS PAC ID: 7113281890
Enrollment ID: I20180504000460
Provider NameHilal Carter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396286696
PECOS PAC ID: 8224314349
Enrollment ID: I20180514001492
Provider NameDanielle Williams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306352612
PECOS PAC ID: 7719234673
Enrollment ID: I20180724000457
Provider NameDevangi Shah
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306328612
PECOS PAC ID: 8820349350
Enrollment ID: I20180924000870
Provider NameJennifer M Jones
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326555012
PECOS PAC ID: 0941554703
Enrollment ID: I20181114000134
Provider NameJasmine Jackson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154869048
PECOS PAC ID: 4385920792
Enrollment ID: I20181221000027
Provider NameJoseph John Carson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649748120
PECOS PAC ID: 4385985621
Enrollment ID: I20190415000418
Provider NameBenjamin Bediako Opoku
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417438474
PECOS PAC ID: 8628319316
Enrollment ID: I20190612000537
Provider NameChristopher Ray Haren
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396819017
PECOS PAC ID: 7113250374
Enrollment ID: I20190702003567
Provider NameYoujin Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437589207
PECOS PAC ID: 9739460569
Enrollment ID: I20190708001364
Provider NameJamese Lyn Morgan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386780682
PECOS PAC ID: 3870774326
Enrollment ID: I20190718001744
Provider NameRyan Seiler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518482157
PECOS PAC ID: 1557628799
Enrollment ID: I20190806000795
Provider NameLindsay Ann Regan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407365133
PECOS PAC ID: 4486911864
Enrollment ID: I20190827001190
Provider NameTyler Delton Michael
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225683964
PECOS PAC ID: 2961731211
Enrollment ID: I20190911002011
Provider NameAmber Renee Baines
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508424789
PECOS PAC ID: 5890024160
Enrollment ID: I20190911002892
Provider NameNadige Joseph
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568944817
PECOS PAC ID: 9830421353
Enrollment ID: I20191101000159
Provider NameCatherine Clare Madden
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194290700
PECOS PAC ID: 4082047774
Enrollment ID: I20191211001270
Provider NameBrittney Shante Wright
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659899680
PECOS PAC ID: 3971861998
Enrollment ID: I20200205000352
Provider NameShreya Shenoy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164890430
PECOS PAC ID: 8820425861
Enrollment ID: I20200303002229
Provider NameZachary Hunter Woolever
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598214850
PECOS PAC ID: 2062745573
Enrollment ID: I20200321000150
Provider NameScott Goyette
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194359646
PECOS PAC ID: 4284062399
Enrollment ID: I20200323002751
Provider NameNicholas Samuel Bell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295275659
PECOS PAC ID: 2365728631
Enrollment ID: I20200611001274
Provider NameVictoria Rose Direnzo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255959284
PECOS PAC ID: 2062835671
Enrollment ID: I20200714003104
Provider NameFatmata Maseray Bangura
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861029258
PECOS PAC ID: 6709206642
Enrollment ID: I20201015001216
Provider NameLakshmi Mahendran
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841807278
PECOS PAC ID: 9234558453
Enrollment ID: I20201120002437
Provider NameMichael Lawson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861088262
PECOS PAC ID: 9335540939
Enrollment ID: I20210701003259
Provider NameConrad E Carter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831524362
PECOS PAC ID: 5496980369
Enrollment ID: I20210723000887
Provider NamePalak Ghetiya
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124694690
PECOS PAC ID: 0648676775
Enrollment ID: I20210915000021
Provider NameNathan Prus
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518539527
PECOS PAC ID: 2961809009
Enrollment ID: I20210916001813
Provider NameKirstin Sessoms
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891464699
PECOS PAC ID: 7517364409
Enrollment ID: I20210920002112
Provider NameKayla Dean Bousfield
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912583105
PECOS PAC ID: 6800284779
Enrollment ID: I20211026001289
Provider NameBehzad Mehdi Khabazian
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447632666
PECOS PAC ID: 4587978341
Enrollment ID: I20211203001369
Provider NameAshley Joy King
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982360764
PECOS PAC ID: 1951791870
Enrollment ID: I20211208003575
Provider NameEddy Nan Chen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043977663
PECOS PAC ID: 8224428438
Enrollment ID: I20211216001588
Provider NameFnu Leena Nathan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134600224
PECOS PAC ID: 8224424858
Enrollment ID: I20220408000053
Provider NameErin Marie Mcclanahan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093444812
PECOS PAC ID: 5799165379
Enrollment ID: I20220629002912
Provider NameAllison Nicole Funk
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073169942
PECOS PAC ID: 8729460597
Enrollment ID: I20220727001618
Provider NameWilson Park
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750959995
PECOS PAC ID: 9234515156
Enrollment ID: I20220929003995
Provider NameKhamille Turnage
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457027591
PECOS PAC ID: 9830595511
Enrollment ID: I20221014000191
Provider NameGeorgin Kaniyaly
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952070997
PECOS PAC ID: 3173999026
Enrollment ID: I20221018000972
Provider NameEmily Cohen Taylor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164808556
PECOS PAC ID: 3476806290
Enrollment ID: I20221031000588
Provider NameLydia Marie Peters
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770028961
PECOS PAC ID: 4981980380
Enrollment ID: I20221128000017
Provider NameSylvia Bennett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528269032
PECOS PAC ID: 6103989322
Enrollment ID: I20230105001525
Provider NameRizalyn S Cloos
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336358308
PECOS PAC ID: 3870967524
Enrollment ID: I20230320000833
Provider NameHannah Elise Clary
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275146326
PECOS PAC ID: 8426462201
Enrollment ID: I20230427000710
Provider NameDavid Mora Egurrola
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598451726
PECOS PAC ID: 0042675621
Enrollment ID: I20230504000128
Provider NameToshita Hemant Ambegaonkar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386204782
PECOS PAC ID: 9133551088
Enrollment ID: I20230516003695
Provider NameGrace Shodiya
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891416806
PECOS PAC ID: 8224495494
Enrollment ID: I20230617000317
Provider NameKristen Renee Parkins
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497270441
PECOS PAC ID: 6901178045
Enrollment ID: I20230624000023
Provider NameMadeline Marie Couch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790470235
PECOS PAC ID: 6901267236
Enrollment ID: I20230802001828
Provider NameKyle Price
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548826142
PECOS PAC ID: 7810392057
Enrollment ID: I20230823003277
Provider NameDominick Vilsaint
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316586605
PECOS PAC ID: 3173951779
Enrollment ID: I20230829004488
Provider NameStanley Aguh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194369967
PECOS PAC ID: 9931553427
Enrollment ID: I20231003000923
Provider NameJacob Mason
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588361455
PECOS PAC ID: 3375902588
Enrollment ID: I20231109001095
Provider NameAllison E Collins
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558055574
PECOS PAC ID: 4385092774
Enrollment ID: I20231123000028
Provider NameRachel Breuer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942914874
PECOS PAC ID: 1759731102
Enrollment ID: I20240103001994
Provider NameCaroline C Bruce
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487425955
PECOS PAC ID: 3779928981
Enrollment ID: I20240228000143
Provider NameKelsey N Reed
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447008735
PECOS PAC ID: 0143762807
Enrollment ID: I20240610001251

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Professional Sportscare & Rehab, Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Professional Sportscare & Rehab, Llc
3801 Fairfax Dr, Suite 11,
Arlington, VA 22203-1762

Ph: (703) 522-1060		Professional Sportscare & Rehab, Llc
2987 Plaza Dr,
Dunkirk, MD 20754-2735

Ph: (919) 258-2714

Reviews and Comments


Physical Therapist in Dunkirk, MD

Alexandra Lynne Wetherholt, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3140 W Ward Rd Ste 203, Dunkirk, MD 20754
Phone: 410-286-7205    
Excel Physical Therapy
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3140 W Ward Rd Ste 203, Dunkirk, MD 20754
Phone: 410-286-7205    Fax: 410-286-7206
Troy Jonathan Kraft, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3140 W Ward Rd Ste 206, Dunkirk, MD 20754
Phone: 410-535-3440    Fax: 301-327-5374
Tyler Michael,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2987 Plaza Dr, Dunkirk, MD 20754
Phone: 443-964-6348    
Alexander F Hart, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2987 Plaza Dr, Dunkirk, MD 20754
Phone: 443-964-6348    
Yvonne Remz Physical Therapy Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2976 Penwick Ln Ste 104a, Dunkirk, MD 20754
Phone: 410-474-4631    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.