MARYLAND SPORTSCARE & REHAB, LLC (NPI# 1386191310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386191310 |
| Entity Type | Organization |
| Organization Name | MARYLAND SPORTSCARE & REHAB, LLC |
| Other Organization Name | PIVOT PHYSICAL THERAPY |
| Practice Address |
10039 Baltimore National Pike Ste L Ellicott City MD 21042-4010 |
| Mailing Address |
350 New Fidelity Ct Garner NC 27529-2665 |
| Practice Telephone | 4109884319 |
| Practice Fax Number | 4108440289 |
| Mailing Telephone | 9192582714 |
| Mailing Fax Number | 4106484878 |
| Enumeration Date | 2016-09-07 |
| 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 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1740737584 | Maryland Sportscare & Rehab, LLC | Occupational Therapist | 5435 Beaverkill Rd, Columbia, MD 21044 | 2016-09-09 |
| Street Address |
10039 BALTIMORE NATIONAL PIKE STE L |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396287074 | Eva Dorothy Martinez | Specialist/Technologist | 10039 Baltimore National Pike, Ste. L, Ellicott City, MD 21042-4010 | 2016-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| 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 |
|---|---|---|---|---|
| 1629675087 | Kari Hough | Physical Therapist | 5130 Dorsey Hall Dr Fl 1, Ellicott City, MD 21042-7870 | 2020-10-07 |
| 1710546734 | Michael Wolodymyr Hynson | Physical Therapist | 9171 Baltimore National Pike Ste 120, Ellicott City, MD 21042-3946 | 2019-06-12 |
| 1053808709 | Lucas Hyun | Physical Therapist | 10081 Colonial Dr, Ellicott City, MD 21042-6262 | 2018-04-18 |
| 1245740760 | Judith Thompson Hanson | Physical Therapist | 3800 Boulder Ct, Ellicott City, MD 21042-3792 | 2017-10-10 |
| 1811406317 | Amber M Campitelli | Physical Therapist | 6011 University Blvd Ste 120, Ellicott City, MD 21043-6104 | 2017-09-27 |
| 1811425978 | Active Care Physical Therapy and Rehabilitation Center, LLC | Physical Therapist | 8492 Baltimore National Pike Ste 207, Ellicott City, MD 21043-3378 | 2017-06-01 |
| 1689026734 | Poonam Desai | Physical Therapist | 5008 Ilchester Rd, Ellicott City, MD 21043-6828 | 2016-07-12 |
| 1740655869 | Thasia Palmieri | Physical Therapist | 2820 Deerfield Dr, Ellicott City, MD 21043-3418 | 2015-12-01 |
| 1245602788 | Chaitanya Jakleti | Physical Therapist | 8747 Town and Country Blvd Apt B, Ellicott City, MD 21043-2925 | 2015-10-23 |
| 1861732240 | Amir Catre Catajoy | Physical Therapist | 8513 White Winter Ct, Ellicott City, MD 21043-6040 | 2013-02-22 |
| Find all providers in ELLICOTT CITY | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
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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.