MARYLAND SPORTSCARE & REHAB, LLC (NPI# 1528517307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528517307 |
| Entity Type | Organization |
| Organization Name | MARYLAND SPORTSCARE & REHAB, LLC |
| Other Organization Name | PIVOT PHYSICAL THERAPY |
| Practice Address |
1600 Crain Hwy S 302 Glen Burnie MD 21061-5577 |
| Mailing Address |
350 New Fidelity Ct Garner NC 27529-2665 |
| Practice Telephone | 4107681213 |
| Mailing Telephone | 9192582714 |
| Mailing Fax Number | 4106484878 |
| Enumeration Date | 2016-09-22 |
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
1600 CRAIN HWY S 302 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-5577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721753 | Michael John Daly | Pain Medicine | 1600 Crain Hwy S, Suite 301, Glen Burnie, MD 21061-5577 | 2005-06-28 |
| 1144884909 | Aisha Zareen | Physical Therapist | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2019-04-26 |
| 1184196024 | Courtney Keegan Perkins | Nurse Practitioner | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2018-12-17 |
| 1003383779 | Sanchez Brown | Nurse Practitioner | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2018-10-30 |
| 1306357595 | Kia Ahmed | Nurse Practitioner | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2017-10-16 |
| 1326571415 | Kimberly Layton Rice | Nurse Practitioner | 1600 Crain Hwy S, Suite 201, Glen Burnie, MD 21061-5577 | 2017-04-06 |
| 1871044834 | Megan Fredricks Cocco | Counselor | 1600 Crain Hwy S, Suite 503, Glen Burnie, MD 21061-5577 | 2016-10-14 |
| 1275083461 | All Star Pain Management and Regenerative Medicine, LLC | Physical Medicine & Rehabilitation | 1600 Crain Hwy S, Suite 206, Glen Burnie, MD 21061-5577 | 2016-10-11 |
| 1194270959 | Ashley Nicole Fogarty | Physical Therapist | 1600 Crain Hwy S, Suite 302, Glen Burnie, MD 21061-5577 | 2016-08-22 |
| 1134571169 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1600 Crain Hwy S, Suite 401, Glen Burnie, MD 21061 | 2016-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| 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 |
|---|---|---|---|---|
| 1376184531 | Adam Joseph Roscioli | Physical Therapist | 308 Hospital Dr Ste 105, Glen Burnie, MD 21061-6113 | 2019-09-30 |
| 1487201893 | Sean Michael Perry | Physical Therapist | 7927 Ritchie Hwy Ste B, Glen Burnie, MD 21061-4373 | 2019-08-20 |
| 1396204988 | Apex Therapy Solutions, LLC | Physical Therapist | 7845 Oakwood Rd Ste 300, Glen Burnie, MD 21061-4266 | 2019-03-14 |
| 1710442587 | Anne Kathryn Myer | Physical Therapist | 200 Hospital Dr Ste 400, Glen Burnie, MD 21061-5893 | 2019-02-06 |
| 1770076952 | Heather Georgeson | Physical Therapist | 810 Landmark Dr Ste 110, Glen Burnie, MD 21061-4987 | 2018-06-12 |
| 1093241481 | Erwin Joseph Coronacion Lucas | Physical Therapist | 7310 Ritchie Hwy Ste 615, Glen Burnie, MD 21061-3291 | 2017-05-04 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1841666005 | Tara Meredith | Physical Therapist | 200 Hospital Drive Ste 400, Glen Burnie, MD 21061-5884 | 2015-08-11 |
| 1528448545 | Barbara Vandevelde | Physical Therapist | 7904 Darien Dr, Glen Burnie, MD 21061-4807 | 2015-06-04 |
| 1154739696 | Carmeda Padilla | Physical Therapist | 615 Carl Ave, Glen Burnie, MD 21060-8601 | 2014-07-29 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
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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.