LIFEBRIDGE SPORTS AND REHABILITATION, LLC (NPI# 1962848325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962848325 |
| Entity Type | Organization |
| Organization Name | LIFEBRIDGE SPORTS AND REHABILITATION, LLC |
| Other Organization Name | PHYSIOTHERAPY ASSOCIATES |
| Practice Address |
6820 Hospital Dr Suite 300 Baltimore MD 21237-4352 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept Mechanicsburg PA 17055-4325 |
| Practice Telephone | 4107802835 |
| Practice Fax Number | 4107802837 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2019-02-07 |
| 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 |
| Street Address |
6820 HOSPITAL DR SUITE 300 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21237-4352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023018074 | Kannan Manickam | Urology | 6820 Hospital Dr, Suite 210, Baltimore, MD 21237-4352 | 2005-07-29 |
| 1376888792 | Center for Pain Management,llc | Pain Medicine | 6820 Hospital Dr, Suite302, Baltimore, MD 21237-4352 | 2012-12-11 |
| 1619221801 | Asc Development Company, LLC | Clinic/Center | 6820 Hospital Dr, Suite 302, Baltimore, MD 21237-4352 | 2012-11-09 |
| 1679871701 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 6820 Hospital Dr, Suite 200, Baltimore, MD 21237-4352 | 2011-03-15 |
| 1215180328 | Dontese Jamine Nicholson | Anesthesiology | 6820 Hospital Dr, Ste 302, Baltimore, MD 21237-4352 | 2008-11-03 |
| 1912176702 | Jayant Uberoi | Urology | 6820 Hospital Dr, Suite 210, Baltimore, MD 21237-4352 | 2008-02-26 |
| 1386776425 | Garrick Russell Smith | Nurse Practitioner | 6820 Hospital Dr, Suite 302, Baltimore, MD 21237-4352 | 2007-03-12 |
| 1851494777 | Anup R Shah | Urology | 6820 Hospital Dr, Suite 210, Baltimore, MD 21237-4352 | 2006-09-06 |
| 1407808991 | William T. Dowling | Specialist | 6820 Hospital Dr, Ste 210, Baltimore, MD 21237 | 2006-05-16 |
| 1194781617 | Wendy S. Sullivan | Physician Assistant | 6820 Hospital Dr, Suite 210, Baltimore, MD 21237-4352 | 2006-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
| 1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
| 1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
| 1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
| 1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
| 1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
| Find all providers in zip 21237 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398618 | Holistic Health- Counseling & Coaching LLC | Clinic/Center | 2453 Maryland Ave Fl 1, Baltimore, MD 21218-5018 | 2020-08-29 |
| 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 |
| 1942862602 | Royal Minds Inc. | Clinic/Center | 3717 E Baltimore St, Baltimore, MD 21224-1509 | 2019-07-02 |
| 1174041727 | The Johns Hopkins Hospital | Clinic/Center | 1 East Mount Vernon Place, Baltimore, MD 21202 | 2017-09-05 |
| 1558754051 | The Johns Hopkins Hospital | Clinic/Center | 1501 South Clinton Street, Suite #200, Baltimore, MD 21224 | 2015-03-09 |
| 1619061785 | Physiotherapy Associates Inc | Clinic/Center | 1585 Sulphur Spring Rd, Suite 110, Baltimore, MD 21227-2536 | 2006-10-03 |
| 1215042023 | Rehab Management of Md, Inc. | Clinic/Center | 8800 Old Harford Rd, Baltimore, MD 21234-2867 | 2006-08-20 |
| 1992773048 | Select Physical Therapy Holdings Inc | Clinic/Center | 4130 E Joppa Rd, Ste 112, Baltimore, MD 21236 | 2006-03-14 |
| Find all providers in BALTIMORE | ||||
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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.