LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC (NPI# 1578198339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578198339 |
| Entity Type | Organization |
| Organization Name | LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC |
| Practice Address |
1836 Greene Tree Rd Baltimore MD 21208-1381 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 4104869992 |
| Practice Fax Number | 4104868680 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | MICHAEL E TARVIN (VICE PRESIDENT) |
| 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 |
| 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 |
| 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 |
| 1326699919 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 1011 Baltimore Blvd, Westminster, MD 21157-7055 | 2019-09-25 |
| Street Address |
1836 GREENE TREE RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21208-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588146534 | Kylee Erin Kendall | Acupuncturist | 1836 Greene Tree Rd, Baltimore, MD 21208-1381 | 2018-09-05 |
| 1528350444 | Kimberly Delich | Physical Therapist | 1836 Greene Tree Rd, Baltimore, MD 21208-1381 | 2011-05-11 |
| 1134447634 | Mathew Thomas Richardson | Physical Therapist | 1836 Greene Tree Rd, Baltimore, MD 21208-1381 | 2010-05-07 |
| 1659558724 | Brian Avery Watson | Physical Therapist | 1836 Greene Tree Rd, Baltimore, MD 21208-1381 | 2008-01-30 |
| 1598945115 | Gregory J Lorch | Physical Therapy Assistant | 1836 Greene Tree Rd, Baltimore, MD 21208-1381 | 2007-11-12 |
| 1013117241 | Lifebridge Health and Fitness LLC | Clinic/Center | 1836 Greene Tree Rd, Baltimore, MD 21208-1381 | 2007-07-25 |
| 1598980336 | Deborah A Slota | Physical Therapist | 1836 Greene Tree Rd, Baltimore, MD 21208-1301 | 2007-04-16 |
| 1134291156 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 1836 Greene Tree Rd, Baltimore, MD 21208-1301 | 2006-11-14 |
| 1750487849 | Physiotherapy Associates Inc | Clinic/Center | 1836 Greene Tree Rd, Baltimore, MD 21208-1381 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292017 | Citywide Community Resources Corporation | Community/Behavioral Health | 17 Warren Road Suite 20b, Room 7, Pikesville, MD 21208 | 2019-12-13 |
| 1801442967 | Delight Health Care Services, LLC | Adult Companion | 8 Sudbrook Lane, Suite A, Pikesville, MD 21208 | 2019-08-14 |
| 1295398154 | Building Blocks Healthcare Network LLC | Counselor | 4000 Old Court Rd. Suite # 206, Pikesville, MD 21208 | 2019-04-17 |
| 1851892897 | For Hope's Sake, LLC. | Substance Abuse Rehabilitation Facility | 1326 Greenwood Rd, Baltimore, MD 21208 | 2018-02-26 |
| 1194254482 | One Day At A Time Personal Care LLC. | Home Health | 103 Sudbrook Lane, Suite9, Pikesville, MD 21208 | 2017-06-08 |
| 1871946467 | Lori Pasch | Social Worker | 7211 Park Heights Avenue, Suite 4, Baltimore, MD 21208 | 2016-07-19 |
| 1669822706 | Holly Hibbard | Physical Therapist | 575 South Charles Street, Suite 201, Baltimore, MD 21208 | 2016-06-20 |
| 1497102867 | Pikesville Health Services LLC | Clinic/Center | 1209 Greenwood Rd, Baltimore, MD 21208 | 2016-05-16 |
| 1093183030 | Homecentris Community Care, LLC | Clinic/Center | 1500 Bedford Ave, Baltimore, MD 21208 | 2015-09-08 |
| 1225413404 | Daniel Chernoff | Occupational Therapist | 3118 Marnat Rd, Baltimore, MD 21208 | 2015-07-29 |
| Find all providers in zip 21208 | ||||
| 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 | ||||
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.