LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC (NPI# 1902184013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902184013 |
| Entity Type | Organization |
| Organization Name | LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC |
| Other Organization Name | PHYSIOTHERAPY ASSOCIATES |
| Practice Address |
2120 Blue Spruce Dr E Suite D Bel Air MD 21015-6802 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept Mechanicsburg PA 17055-4325 |
| Practice Telephone | 4105151260 |
| Practice Fax Number | 4105152211 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | MR. MICHAEL E TARVIN (VICE PRESIDENT & SECRETARY) |
| 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 |
| Other Name | Type Code |
|---|---|
| Physiotherapy Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114215399 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 1364 Martin Blvd Ste 5, Middle River, MD 21220-4104 | 2011-07-21 |
| 1770689879 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 12201 Tullamore Rd, Timonium, MD 21093-7816 | 2006-09-15 |
| 1972852929 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 10 Crossroads Drive, Suite 208-216, Owings Mills, MD 21117-5461 | 2012-09-06 |
| 1467730572 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 118 Shawan Rd, Hunt Valley, MD 21030-1318 | 2011-07-25 |
| 1922396100 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 9712 Belair Rd, Suite 101, Nottingham, MD 21236-1111 | 2011-07-21 |
| 1003104282 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 111 Bata Blvd, Suite C, Belcamp, MD 21017-1427 | 2011-07-21 |
| 1134291156 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 1836 Greene Tree Rd, Baltimore, MD 21208-1301 | 2006-11-14 |
| 1740386903 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 3506 Gwynnbrook Ave, Suite 148, Owings Mills, MD 21117-1409 | 2006-09-15 |
| Street Address |
2120 BLUE SPRUCE DR E SUITE D |
| City | BEL AIR |
| State | MD |
| Zip Code | 21015-6802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790931822 | Daniel M Mclellan | Dentist | 2120 Blue Spruce Dr E, #b, Bel Air, MD 21015-6802 | 2008-08-08 |
| 1306185061 | Blue Sky Dental Care | Dentist | 2120 Blue Spruce Dr E, #b, Bel Air, MD 21015-6802 | 2013-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525235 | Graceful Speech-language Therapy | Speech-Language Pathologist | 610 Mauser Dr, Bel Air, MD 21015 | 2020-10-12 |
| 1770124844 | Asana Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 815 Sapling Ct, Bel Air, MD 21015 | 2019-09-30 |
| 1427601103 | Newpoints | Substance Abuse Rehabilitation Facility | 242 Ogden Court, Bel Air, MD 21015 | 2019-07-22 |
| 1184186199 | Notable Life Counseling Services LLC | Counselor | 2107-2109 Laurel Bush Road, Ste 103b, Bel Air, MD 21015 | 2019-04-01 |
| 1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
| 1942770524 | Erin Tromblay | Speech-Language Pathologist | 85 Patterson Mill Road, Bel Air, MD 21015 | 2018-11-27 |
| 1740638857 | Holly A Smith | Nurse Practitioner | 5 Bel Air Parkway, Suite 1535, Bel Air, MD 21015 | 2016-05-31 |
| 1891155420 | National Rehabilitation Hospital, Inc | Clinic/Center | 12 Medstar Boulevard, Suite 325, Bel Air, MD 21015 | 2016-02-24 |
| 1780002956 | Louis Rosson Robinett IIi | Internal Medicine | 2227 Old Emmorton Rd Ste 120, Bel Air, MD 21015 | 2014-04-03 |
| 1609207083 | Vicki Lynn Goldberg | Physical Therapist | 2304 Churchville Road, Bel Air, MD 21015 | 2013-12-10 |
| Find all providers in zip 21015 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891155420 | National Rehabilitation Hospital, Inc | Clinic/Center | 12 Medstar Boulevard, Suite 325, Bel Air, MD 21015 | 2016-02-24 |
| 1881663888 | Select Physical Therapy Holdings Inc | Clinic/Center | 2111 Laurel Bush Rd, Ste G, Bel Air, MD 21015-6156 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999551 | Physiotherapy Assoicates, Inc. | Clinic/Center | 11200 Rockville Pike Ste 240, Rockville, MD 20852-3154 | 2020-10-14 |
| 1790398618 | Holistic Health- Counseling & Coaching LLC | Clinic/Center | 2453 Maryland Ave Fl 1, Baltimore, MD 21218-5018 | 2020-08-29 |
| 1427669159 | Phaze Counseling Services Inc | Clinic/Center | 4425 Fitch Ave Ste 118, Nottingham, MD 21236-3927 | 2020-08-14 |
| 1154931962 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 41 Magna Way Ste 140, Westminster, MD 21157-3073 | 2020-08-06 |
| 1821606583 | Fine, Bryant & Wah, Inc. | Clinic/Center | 1707 Whetstone Way, Baltimore, MD 21230-5198 | 2020-07-20 |
| 1912520685 | Recovery Center of Maryland | Clinic/Center | 211 E 25th St, Baltimore, MD 21218-5217 | 2020-05-28 |
| 1013546944 | National Rehabiliation Hospital, Inc | Clinic/Center | 1838 Greene Tree Rd Ste 245, Baltimore, MD 21208-7110 | 2020-04-02 |
| 1831734920 | On Track Rehabilitation, LLC | Clinic/Center | 3702 Brenbrook Dr, Randallstown, MD 21133-4116 | 2019-11-12 |
| 1184277303 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 1305 S Salisbury Blvd Unit 5, Salisbury, MD 21801-6845 | 2019-07-17 |
| 1235791625 | Focused Care, LLC | Clinic/Center | 8070 Georgia Ave Ste 605, Silver Spring, MD 20910-4948 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
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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.