LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC (NPI# 1063906386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063906386 |
| Entity Type | Organization |
| Organization Name | LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC |
| Practice Address |
826 Washington Rd Ste 111 Westminster MD 21157-5779 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 4105494960 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MICHAEL E TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | Y |
| Parent Organization Name | SELECT MEDICAL |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| 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 |
| 1033755434 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 | 2019-11-20 |
| Street Address |
826 WASHINGTON RD STE 111 |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-5779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940793 | Patricia Kuhlmann | Occupational Therapist | 826 Washington Rd Ste 111, Westminster, MD 21157-5779 | 2018-01-31 |
| 1902456411 | Ryker Gregory Kallas | Physical Therapist | 826 Washington Rd Ste 111, Westminster, MD 21157-5779 | 2019-09-17 |
| 1497220719 | Lifebridge Sports Medicine and Rehabilitation LLC | Occupational Therapist | 826 Washington Rd Ste 111, Westminster, MD 21157-5779 | 2018-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912423369 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 250 Englar Rd Ste 22, Westminster, MD 21157-6186 | 2017-08-17 |
| 1326562174 | Advanced Pain Management Specialists, LLC | Durable Medical Equipment & Medical Supplies | 826 Washington Rd Ste 210, Westminster, MD 21157-5780 | 2017-08-02 |
| 1427594928 | Remedi Seniorcare of Colorado, LLC | Durable Medical Equipment & Medical Supplies | 8971 Harlan St Unit B, Westminster, CO 80031-2941 | 2017-01-09 |
| 1134573850 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 500 W 144th Ave Ste 200, Westminster, CO 80023 | 2016-04-19 |
| 1386007235 | Joel Yeo | Durable Medical Equipment & Medical Supplies | 7134 Lisa Ln, Westminster, CA 92683-2268 | 2016-03-29 |
| 1538564570 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 7170 Federal Blvd, Westminster, CO 80030-5511 | 2014-11-04 |
| 1215370424 | Caretouch Communications, Inc. | Durable Medical Equipment & Medical Supplies | 12050 Pecos St Ste 305, Westminster, CO 80234-2017 | 2013-04-08 |
| 1386946440 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 500 Meadow Creek Dr, Westminster, MD 21158-4446 | 2010-11-23 |
| 1457683153 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 907 E Main St, Westminster, SC 29693-1940 | 2010-02-04 |
| 1679702211 | Vista Pharma Inc | Durable Medical Equipment & Medical Supplies | 15550 Brookhurst St, Westminster, CA 92683 | 2009-07-02 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
Please comment or provide details below to improve the information on LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC.
| 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.