MARYLAND SPORTSCARE & REHAB, LLC (NPI# 1063878478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063878478 |
| Entity Type | Organization |
| Organization Name | MARYLAND SPORTSCARE & REHAB, LLC |
| Other Organization Name | PIVOT PHYSICAL THERAPY OF MARYLAND |
| Practice Address |
1207 Liberty Rd Ste 106 Eldersburg MD 21784-6574 |
| Mailing Address |
501 Fairmount Ave Ste 302 Towson MD 21286-5457 |
| Practice Telephone | 4105495700 |
| Practice Fax Number | 4105496200 |
| Mailing Telephone | 4109278768 |
| Mailing Fax Number | 4106484878 |
| Enumeration Date | 2016-01-14 |
| 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 OF MARYLAND | 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 |
| 1528517307 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 1600 Crain Hwy S, 302, Glen Burnie, MD 21061-5577 | 2016-09-22 |
| 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 |
| Street Address |
1207 LIBERTY RD STE 106 |
| City | ELDERSBURG |
| State | MD |
| Zip Code | 21784-6574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720284904 | Stacey A Maxwell | Specialist/Technologist | 1207 Liberty Rd, Eldersburg, MD 21784-6574 | 2007-06-25 |
| 1548714918 | Kristina Strine | Physical Therapist | 1207 Liberty Rd, Ste 106, Eldersburg, MD 21784 | 2016-08-15 |
| 1487053567 | Kristen Hill | Physical Therapist | 1207 Liberty Rd, Suite 106, Eldersburg, MD 21784-6574 | 2014-08-14 |
| 1871992040 | Pivot Physical Therapy | Clinic/Center | 1207 Liberty Rd, Suite 106, Eldersburg, MD 21784-6574 | 2014-08-13 |
| 1275954273 | Sasha King | Physical Therapist | 1207 Liberty Rd, Suite 106, Eldersburg, MD 21784-6574 | 2013-12-18 |
| 1366870735 | Rajat Kumar | Physical Therapist | 1207 Liberty Rd, Eldersburg, MD 21784-6574 | 2013-10-23 |
| 1336484617 | Amanda L Mallory | Physical Therapist | 1207 Liberty Rd, Suite 106, Eldersburg, MD 21784-6574 | 2012-11-28 |
| 1548512015 | Kevin W Kolly | Physical Therapist | 1207 Liberty Rd, Suite 106, Eldersburg, MD 21784-6574 | 2012-10-09 |
| 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 |
| Find all providers in zip 21784 | ||||
| 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 |
|---|---|---|---|---|
| 1790392058 | Tyler James Thornburg | Physical Therapist | 1207 Liberty Rd # 106, Eldersburg, MD 21784-6574 | 2020-09-30 |
| 1558828814 | Ati Holdings, LLC | Physical Therapist | 1311 Londontown Blvd Ste 202, Eldersburg, MD 21784-6454 | 2019-02-22 |
| 1639649437 | Christine Kistner-stoner | Physical Therapist | 5343 Wendy Rd, Eldersburg, MD 21784-6858 | 2018-12-05 |
| 1184116329 | Ashley Nicole Kelly | Physical Therapist | 6190 Georgetown Blvd Ste 108, Eldersburg, MD 21784-6460 | 2018-06-04 |
| 1427569961 | Vikas G Prasad | Physical Therapist | 1818 Cassandra Dr Unit 929, Eldersburg, MD 21784-6950 | 2017-10-23 |
| 1548792518 | Brian William Lloyd | Physical Therapist | 6411 Locust Ln, Eldersburg, MD 21784-6746 | 2017-03-29 |
| 1639453061 | Carolyn Burns | Physical Therapist | 1254 Guilford Rd, Eldersburg, MD 21784-8863 | 2011-10-04 |
| 1821386269 | Won Il Yoo | Physical Therapist | 1332 Londontown Blvd, Eldersburg, MD 21784-6587 | 2011-07-19 |
| 1861683344 | Laura Yoo | Physical Therapist | 1332 Londontown Blvd Ste 101, Eldersburg, MD 21784-6587 | 2007-08-08 |
| 1427198100 | Timothy James Chaffman | Physical Therapist | 6190 Georgetown Blvd # 108, Eldersburg, MD 21784-6460 | 2007-02-08 |
| Find all providers in ELDERSBURG | ||||
| City | ELDERSBURG |
| Zip Code | 21784 |
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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.