MARYLAND SPORTSCARE & REHAB, LLC (NPI# 1285090696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285090696 |
| Entity Type | Organization |
| Organization Name | MARYLAND SPORTSCARE & REHAB, LLC |
| Other Organization Name | PIVOT PHYSICAL THERAPY OF MARYLAND |
| Practice Address |
5100 Buckeystown Pike Ste 158 Frederick MD 21704-8336 |
| Mailing Address |
501 Fairmount Ave Ste 302 Towson MD 21286-5457 |
| Practice Telephone | 3016626790 |
| Practice Fax Number | 3018745955 |
| Mailing Telephone | 4109278768 |
| Mailing Fax Number | 4106484878 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | PENNY PEARSON (DIR, REVENUE CYCLE MANAGEMENT) |
| Authorized Official Telephone | 4432254492 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| PIVOT PHYSICAL THERAPY OF MARYLAND | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386191310 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 10039 Baltimore National Pike, Ste L, Ellicott City, MD 21042-4010 | 2016-09-07 |
| 1255886586 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 1418 Baltimore St, Ste E, Hanover, PA 17331-8536 | 2016-08-16 |
| 1659825057 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 3551 Washington Blvd, Halethorpe, MD 21227-1672 | 2016-08-15 |
| 1154788594 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 17750 Creamery Rd, B7, Emmitsburg, MD 21727-9199 | 2016-01-15 |
| 1215394663 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 828 Muddy Branch Rd, Gaithersburg, MD 20878-2780 | 2016-01-15 |
| 1922464338 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 2315 Hanover Pike, Ste G, Hampstead, MD 21074-1136 | 2016-01-14 |
| 1376080747 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 2219 Bel Pre Rd, Silver Spring, MD 20906-2204 | 2017-01-24 |
| 1528517307 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 1600 Crain Hwy S, 302, Glen Burnie, MD 21061-5577 | 2016-09-22 |
| 1881141620 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 6785 Business Pkwy, Elkridge, MD 21075-6353 | 2016-09-09 |
| 1659828481 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 7080 Deepage Dr, Columbia, MD 21045-5219 | 2016-09-09 |
| Street Address |
5100 BUCKEYSTOWN PIKE STE 158 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21704-8336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194766394 | William Francis Kelly | Physician Assistant | 5100 Buckeystown Pike, Suite 186, Frederick, MD 21704-8336 | 2006-06-09 |
| 1457714693 | Nilima Shrestha | Nurse Practitioner | 5100 Buckeystown Pike, Suite 186, Frederick, MD 21704-8336 | 2016-04-04 |
| 1457730129 | Laboratory Corporation of America | Clinical Medical Laboratory | 5100 Buckeystown Pike, Suite 186, Frederick, MD 21704-8336 | 2015-05-27 |
| 1841683828 | Pui Yu Hon | Nurse Practitioner | 5100 Buckeystown Pike, Frederick, MD 21704-8336 | 2015-03-14 |
| 1063831212 | Chinyere Ugwanyi | Nurse Practitioner | 5100 Buckeystown Pike, Ste 250, Frederick, MD 21704-8344 | 2014-04-15 |
| 1285934570 | P. Pham and J. Briggs LLC | Clinic/Center | 5100 Buckeystown Pike, Frederick, MD 21704-8336 | 2010-11-02 |
| 1114961141 | Tracy Ellen Carter | Counselor | 5100 Buckeystown Pike, Suite 250, Frederick, MD 21704-8336 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
| 1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
| 1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
| 1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
| 1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
| 1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| Find all providers in zip 21704 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677200 | Anjali R Ghodake | Physical Therapist | 405 S Jefferson St Unit B, Frederick, MD 21701-6272 | 2019-06-11 |
| 1790343812 | Amanda Jean Lievendag | Physical Therapist | 7200 Bank Ct Ste 110, Frederick, MD 21703-2886 | 2019-06-04 |
| 1538627492 | Optimum Physical Therapy and Wellness, LLC | Physical Therapist | 1050 Key Pkwy Ste 202, Frederick, MD 21702-4551 | 2019-03-08 |
| 1053892380 | Kelley Ann Fiedler | Physical Therapist | 5100 Buckeystown Pike Ste 158, Frederick, MD 21704-8337 | 2018-08-24 |
| 1861970568 | Shannon Byers | Physical Therapist | 84 Thomas Johnson Ct Ste B, Frederick, MD 21702-4678 | 2018-08-03 |
| 1083120430 | Maryland Sportscare & Rehab LLC | Physical Therapist | 1845 Brookfield Ct, Frederick, MD 21701-8700 | 2017-12-21 |
| 1861910606 | Kimberly Anne Brown | Physical Therapist | 7211 Bank Ct Ste 120, Frederick, MD 21703-8479 | 2017-08-31 |
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1891211900 | Ryan Mathew Byers | Physical Therapist | 604 Solarex Ct Unit 104, Frederick, MD 21703-8678 | 2017-08-21 |
| 1285150524 | Rm Health Services, LLC | Physical Therapist | 603 W Patrick St Ste B, Frederick, MD 21701-4090 | 2017-08-18 |
| Find all providers in FREDERICK | ||||
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| 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.