LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC


Address: 6190 Georgetown Blvd, Eldersburg, MD 21784-6460
Phone: 4105524235

LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC (NPI# 1033755434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033755434
Entity Type Organization
Organization Name LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
Practice Address 6190 Georgetown Blvd
Eldersburg
MD 21784-6460
Mailing Address 4714 Gettysburg Rd
Mechanicsburg
PA 17055-4325
Practice Telephone 4105524235
Practice Fax Number 4105524248
Mailing Telephone 7179754556
Enumeration Date 2019-11-20
Last Update Date 2019-11-20
Authorized Official Name MICHAEL E TARVIN (VICE PRESIDENT)
Authorized Official Telephone 7179721100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154931962 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 41 Magna Way Ste 140, Westminster, MD 21157-3073 2020-08-06
1770059701 Lifebridge Sports Medicine and Rehabilitation LLC Occupational Therapist 19 Walker Ave Ste 100, Pikesville, MD 21208-4006 2018-10-17
1992271902 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 8114 Sandpiper Cir Ste 114, Baltimore, MD 21236-5901 2018-10-17
1215421532 Lifebridge Sports Medicine and Rehabilitation LLC Durable Medical Equipment & Medical Supplies 1393 Progress Way Ste 907, Eldersburg, MD 21784-6473 2018-06-20
1932592151 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 1167 Merritt Blvd, Store #1167 C-2, Dundalk, MD 21222-1438 2015-03-12
1255941522 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 2020-08-03
1578198339 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 1836 Greene Tree Rd, Baltimore, MD 21208-1381 2020-03-11
1487289245 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 1364 Martin Blvd Ste 5, Middle River, MD 21220-4104 2020-03-11
1487289781 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 8114 Sandpiper Cir Ste 114, Baltimore, MD 21236-5901 2020-03-06
1326699919 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 1011 Baltimore Blvd, Westminster, MD 21157-7055 2019-09-25

Office Location

Street Address 6190 GEORGETOWN BLVD
City ELDERSBURG
State MD
Zip Code 21784-6460

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427042027 Jill Marie Koeppen Nurse Practitioner 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 2005-09-09
1255941522 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 2020-08-03
1245892819 Kristen Allard Registered Nurse 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 2019-07-03
1265908446 Crystal Olivia Leonard Nurse Practitioner 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 2018-10-16
1578055497 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 2018-06-06
1841732047 Melissa Bassett Nurse Practitioner 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 2016-11-06
1891247003 Lifebridge Community Physicians, Inc. Internal Medicine 6190 Georgetown Blvd, Suite 104, Eldersburg, MD 21784-6460 2016-11-04
1730539289 Jay Steven Orr Family Medicine 6190 Georgetown Blvd, Eldersburg, MD 21784 2016-06-15
1649662776 Genna Sellers Nurse Practitioner 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 2015-02-26
1386049260 Fatemeh Jafari Farshami Student in an Organized Health Care Education/Training Program 6190 Georgetown Blvd, Suite 110, Eldersburg, MD 21784 2014-11-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033681085 Kathleen Busching Occupational Therapy Assistant Intergrace Fairhaven, 7200 Third Ave, Sykesville, MD 21784 2018-12-31
1619450376 Mackenzie Fleming Counselor 6220 Georgetown Blvd Suite C, Eldersburg, MD 21784 2018-09-10
1316426919 Rebecca Rubin Nurse Practitioner 1380 Progress Way, Suite 102, Eldersburg, MD 21784 2018-08-14
1417473273 Andrey Doroshenko Dentist 1722 Underwood Road, Sykesville, MD 21784 2017-08-14
1992229694 Walgreen Co Durable Medical Equipment & Medical Supplies 6400 Georgetown Blvd, Eldersburg, MD 21784 2017-08-03
1457894495 Bethany Six Nurse Practitioner 6190 Gerogetown Blvd, Eldersburg, MD 21784 2016-11-23
1982011821 Fast Track Urgent Care, LLC Clinic/Center 1315 Breton Drive, Eldersburg, MD 21784 2014-07-11
1588097984 Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery 5961 Exchange Dr, Suite 100, Eldersburg, MD 21784 2013-08-21
1356690986 Kayla Nicole Koster Speech-Language Pathologist 1702 Liberty Road, First Floor, Sykesville, MD 21784 2012-08-29
1558645663 Fusion Dental Dentist 5959 Exchange Drive, Suite 116, Eldersburg, MD 21784 2011-10-07
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659655413 Senior Smart, LLC Clinic/Center 1430 Progress Way Ste 105, Eldersburg, MD 21784-6461 2011-09-28
1255941522 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 2020-08-03
1578055497 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 2018-06-06
1265538359 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 2006-09-15

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City ELDERSBURG
Zip Code 21784

Improve Information

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Dataset Information

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.

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