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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
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 |
Street Address |
41 MAGNA WAY STE 140 |
City | WESTMINSTER |
State | MD |
Zip Code | 21157-3073 |
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 Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
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 |
City | WESTMINSTER |
Zip Code | 21157 |
Please comment or provide details below to improve the information on LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC.
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.