LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC


Address: 41 Magna Way Ste 140, Westminster, MD 21157-3073
Phone: 7179721100

LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC (NPI# 1154931962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154931962
Entity Type Organization
Organization Name LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
Practice Address 41 Magna Way Ste 140
Westminster
MD 21157-3073
Mailing Address 4714 Gettysburg Rd
Mechanicsburg
PA 17055-4325
Practice Telephone 7179721100
Enumeration Date 2020-08-06
Last Update Date 2020-08-06
Authorized Official Name MICHAEL E TARVIN (VICE PRESIDENT)
Authorized Official Telephone 7179721100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770059701 Lifebridge Sports Medicine and Rehabilitation LLC Occupational Therapist 19 Walker Ave Ste 100, Pikesville, MD 21208-4006 2018-10-17
1992271902 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 8114 Sandpiper Cir Ste 114, Baltimore, MD 21236-5901 2018-10-17
1215421532 Lifebridge Sports Medicine and Rehabilitation LLC Durable Medical Equipment & Medical Supplies 1393 Progress Way Ste 907, Eldersburg, MD 21784-6473 2018-06-20
1932592151 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 1167 Merritt Blvd, Store #1167 C-2, Dundalk, MD 21222-1438 2015-03-12
1255941522 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 2020-08-03
1578198339 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 1836 Greene Tree Rd, Baltimore, MD 21208-1381 2020-03-11
1487289245 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 1364 Martin Blvd Ste 5, Middle River, MD 21220-4104 2020-03-11
1487289781 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 8114 Sandpiper Cir Ste 114, Baltimore, MD 21236-5901 2020-03-06
1033755434 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 2019-11-20
1326699919 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 1011 Baltimore Blvd, Westminster, MD 21157-7055 2019-09-25

Office Location

Street Address 41 MAGNA WAY STE 140
City WESTMINSTER
State MD
Zip Code 21157-3073

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013523083 Krista Stanzione Counselor 10 Distillery Drive, Ste 200, Westminster, MD 21157 2020-09-16
1487263893 Jordan Butler Counselor Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 2020-07-31
1558920991 Ashton Nicole Burnham Social Worker 10 Distillery Dr Suite 200, Westminster, MD 21157 2019-06-10
1265903173 Kathy Denise Omara Speech-Language Pathologist 125 North Court Street, Westminster, MD 21157 2018-12-17
1013419837 Ericka M Walters Social Worker 77-81 E. Main Street, Suite 406, Westminster, MD 21157 2018-03-07
1982146353 Access Carroll, LLC Clinic/Center 10 Distillery Drive, Suite 200, Westminster, MD 21157 2016-11-16
1619327293 Bh Brightview Westminster Ridge Opco, LLC Alzheimer Center (Dementia Center) 505 High Acre Drive, Westminster, MD 21157 2016-06-15
1710362926 Laura Coulter Social Worker 280 E Main St Ste 202, Westminster, MD 21157 2015-07-29
1205213436 Carroll County Health Department Public Health or Welfare 290 S. Center Street, Westminster, MD 21157 2015-04-27
1972990489 Ivy Smink Registered Nurse 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 2015-04-22
Find all providers in zip 21157

Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043859747 Peak Rehabilitation of Denver LLC Clinic/Center 2751 W 120th Ave Ste 150, Westminster, CO 80234-2979 2019-12-27
1346896081 Select Physical Therapy of West Denver Limited Partnership Clinic/Center 8601 Turnpike Dr Ste 204, Westminster, CO 80031-7043 2019-08-16
1114564143 Mosaic Community Services, Inc Clinic/Center 288 E Green St, Westminster, MD 21157-5410 2019-12-10
1346887536 Matrix Rehabilitation, Inc. Clinic/Center 16401 Magnolia St Ste 108, Westminster, CA 92683-7868 2019-12-06
1326699919 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 1011 Baltimore Blvd, Westminster, MD 21157-7055 2019-09-25
1548653884 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 1011 Baltimore Blvd, Westminster, MD 21157-7055 2015-03-11
1942632682 Life Renewal Services, Inc Clinic/Center 247 E Main St, Westminster, MD 21157-5228 2013-08-05
1720123821 Deerfield Healthcare Corp. Clinic/Center 1135 Business Pkwy S, Suite 60, Westminster, MD 21157-3019 2007-02-20
1205932456 Physiotherapy Associates Inc Clinic/Center 826 Washington Rd, Westminster, MD 21157-5750 2006-09-15
1760408165 Granite House, Inc Clinic/Center 288 E Green St, Westminster, MD 21157-5410 2006-07-15
Find all providers in WESTMINSTER

Competitor

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City WESTMINSTER
Zip Code 21157

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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