MARYLAND SPORTSCARE & REHAB LLC (NPI# 1518951995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518951995 |
| Entity Type | Organization |
| Organization Name | MARYLAND SPORTSCARE & REHAB LLC |
| Other Organization Name | PIVOT PHYSICAL THERAPY OF MARYLAND |
| Practice Address |
844 Washington Rd Suite 102 Westminster MD 21157-6664 |
| Mailing Address |
501 Fairmount Ave Ste 302 Towson MD 21286-5457 |
| Practice Telephone | 4108765600 |
| Practice Fax Number | 4108761623 |
| Mailing Telephone | 4109278768 |
| Mailing Fax Number | 4106484878 |
| Enumeration Date | 2005-08-31 |
| 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 |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUECHOICE | T208 | 01 |
| ACN | 2160584 | 01 | |
| UHC | 2160584 | 01 | |
| AETNA | 7914198 | 01 |
| Other Name | Type Code |
|---|---|
| PIVOT PHYSICAL THERAPY OF MARYLAND | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502380 | Maryland Sportscare & Rehab LLC | Physical Therapist | 321 Dorchester Ave Ste B, Cambridge, MD 21613-2425 | 2020-06-10 |
| 1871154856 | Maryland Sportscare & Rehab LLC | Occupational Therapist | 3100 Boston Street, Baltimore, MD 21298-0001 | 2019-06-21 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1396251732 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8740 Belair Rd, Baltimore, MD 21236-2420 | 2017-12-21 |
| 1083120430 | Maryland Sportscare & Rehab LLC | Physical Therapist | 1845 Brookfield Ct, Frederick, MD 21701-8700 | 2017-12-21 |
| 1295350866 | Maryland Sportscare & Rehab LLC | Physical Therapist | 2618 N Salisbury Blvd Ste 130, Salisbury, MD 21801-2217 | 2020-06-10 |
| 1205451879 | Maryland Sportscare & Rehab LLC | Physical Therapist | 401 Marvel Ct, Easton, MD 21601-4048 | 2020-06-10 |
| 1801411467 | Maryland Sportscare & Rehab LLC | Physical Therapist | 314 Franklin Ave Ste 501, Berlin, MD 21811-1264 | 2020-06-10 |
| 1639635477 | Maryland Sportscare & Rehab LLC | Occupational Therapist | 801 Elkton Blvd Ste 3, Elkton, MD 21921-5342 | 2019-02-18 |
| 1801352646 | Maryland Sportscare & Rehab LLC | Occupational Therapist | 3700 Fleet St Ste 109, Baltimore, MD 21224-4238 | 2019-02-18 |
| Street Address |
844 WASHINGTON RD SUITE 102 |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-6664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634946 | Kiersten Manuelle Miranda | Advanced Practice Midwife | 844 Washington Rd, Westminster, MD 21157-6664 | 2020-06-17 |
| 1225580848 | Veronika Humicsko | Physical Therapist | 844 Washington Rd, Ste 101, Westminster, MD 21157-6664 | 2016-10-31 |
| 1699224410 | Kristina Cole | Physical Therapist | 844 Washington Rd, Ste 101, Westminster, MD 21157-6664 | 2016-09-22 |
| 1811347149 | Murphy Mark Luatua | Specialist/Technologist | 844 Washington Rd, Suite 101, Westminster, MD 21157-6664 | 2016-06-17 |
| 1255799870 | Maryland Sportscare & Rehab, LLC | Occupational Therapist | 844 Washington Rd, Ste 102, Westminster, MD 21157-6664 | 2016-02-10 |
| 1720445174 | Maryland Sportscare & Rehab, LLC | Occupational Therapist | 844 Washington Rd, Ste 101, Westminster, MD 21157-6664 | 2016-01-15 |
| 1295122687 | Joelle Tanguy Eyster | Physician Assistant | 844 Washington Rd, Suite 302, Westminster, MD 21157-6664 | 2015-04-23 |
| 1275930976 | Cynthia German | Occupational Therapist | 844 Washington Rd, Suite 101, Westminster, MD 21157-6664 | 2014-11-24 |
| 1275940090 | Carroll Health Group, LLC | Orthopaedic Surgery | 844 Washington Rd, Suite 102, Westminster, MD 21157-6664 | 2014-07-14 |
| 1821421819 | Marisa Anne Magaro | Physical Therapist | 844 Washington Rd, Suite 101, Westminster, MD 21157-6664 | 2013-08-14 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1255949657 | Ryan Pierce Templet | Physical Therapist | 11265 Decatur St Ste 300, Westminster, CO 80234-4793 | 2020-07-21 |
| 1649811050 | Diane Nguyen | Physical Therapist | 16401 Magnolia St Ste 108, Westminster, CA 92683-7868 | 2019-10-07 |
| 1811541691 | Physical Therapy & Rehabilitation Services, PC | Physical Therapist | 8501 Turnpike Dr Unit 100, Westminster, CO 80031-7042 | 2019-07-30 |
| 1457811333 | Taylor Lynn Thurston | Physical Therapist | 6250 Promenade Dr N Apt 262, Westminster, CO 80020-4204 | 2019-03-25 |
| 1205319860 | Nicole Elizabeth Monteith | Physical Therapist | 13008 Harmony Pkwy, Westminster, CO 80234-3777 | 2018-09-10 |
| 1841778446 | Shivani Minish Patel | Physical Therapist | 512 Caldera Ct, Westminster, MD 21158-9486 | 2018-08-06 |
| 1801372461 | Alexander Perdieu | Physical Therapist | 505 High Acre Dr, Westminster, MD 21157-6569 | 2018-07-17 |
| 1487143590 | Jeremiah Roger Johnson | Physical Therapist | 12207 Pecos St Ste 600, Westminster, CO 80234-3896 | 2018-05-03 |
| 1861903239 | Shoaib Madar | Physical Therapist | 9406 Mirage Ave, Westminster, CA 92683-4712 | 2017-10-12 |
| 1255854733 | Robyn Smolin | Physical Therapist | 11180 Irving Dr, Westminster, CO 80031-6886 | 2017-07-17 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
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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.