PROFESSIONAL SPORTSCARE & REHAB, LLC (NPI# 1730704404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730704404 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL SPORTSCARE & REHAB, LLC |
| Practice Address |
2634 Brandermill Blvd Gambrills MD 21054-1651 |
| Mailing Address |
350 New Fidelity Ct Garner NC 27529-2665 |
| Practice Telephone | 4107217201 |
| Mailing Telephone | 9192582714 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | PENNY PEARSON (RCM) |
| 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 Metro DC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877220 | Professional Sportscare & Rehab, LLC | Physical Therapist | 1801 Ritchie Station Ct # 200, Capitol Heights, MD 20743-5075 | 2020-06-29 |
| 1356966014 | Professional Sportscare & Rehab, LLC | Physical Therapist | 4511 Knox Rd Ste 102, College Park, MD 20740-3380 | 2020-06-09 |
| 1245732924 | Professional Sportscare & Rehab, LLC | Physical Therapist | 3508 Connecticut Ave Nw, Washington, DC 20008-2401 | 2018-03-08 |
| 1609378371 | Professional Sportscare & Rehab, LLC | Physical Therapist | 2650 S Pleasant Valley Rd, Winchester, VA 22601-6518 | 2018-03-08 |
| 1619479383 | Professional Sportscare & Rehab, LLC | Physical Therapist | 25370 Eastern Marketplace Plz, Chantilly, VA 20152-1426 | 2018-03-08 |
| 1518492511 | Professional Sportscare & Rehab, LLC | Physical Therapist | 6325 Multiplex Dr, Unit 2, Centreville, VA 20121-5327 | 2017-04-27 |
| 1407397896 | Professional Sportscare & Rehab, LLC | Physical Therapist | 2875 Crain Hwy, Ste 6, Waldorf, MD 20601-2807 | 2017-03-17 |
| 1194275057 | Professional Sportscare & Rehab, LLC | Physical Therapist | 21453 Epicerie Plz, Ste 100, Sterling, VA 20164-6647 | 2016-10-04 |
| 1487104345 | Professional Sportscare & Rehab, LLC | Physical Therapist | 11662 Sudley Manor Dr, Ste 50 B, Manassas, VA 20109-2842 | 2016-10-04 |
| 1861941395 | Professional Sportscare & Rehab, LLC | Physical Therapist | 10940 Fairfax Blvd, Ste D1, Fairfax, VA 22030-4301 | 2016-09-26 |
| Street Address |
2634 BRANDERMILL BLVD |
| City | GAMBRILLS |
| State | MD |
| Zip Code | 21054-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508892761 | Professional Sportscare, LLC | Physical Therapist | 2634 Brandermill Blvd, Gambrills, MD 21054-1651 | 2006-06-22 |
| 1194359646 | Scott Goyette | Physical Therapist | 2634 Brandermill Blvd, Gambrills, MD 21054-1651 | 2020-02-24 |
| 1568963304 | Amanda Boyle | Physical Therapist | 2634 Brandermill Blvd, Gambrills, MD 21054-1651 | 2018-02-27 |
| 1841740321 | Professional Sportscare, LLC | Physical Therapist | 2634 Brandermill Blvd, Gambrills, MD 21054-1651 | 2016-10-10 |
| 1568813335 | Andrea Miller | Physical Therapist | 2634 Brandermill Blvd, Gambrills, MD 21054-1651 | 2016-06-23 |
| 1093104358 | Eugene Khoroshan | Physical Therapist | 2634 Brandermill Blvd, Gambrills, MD 21054-1651 | 2015-01-09 |
| 1528485497 | Rachel Wilhide | Physical Therapist | 2634 Brandermill Blvd, Gambrills, MD 21054-1651 | 2014-03-27 |
| 1366765364 | Carolyn Marie Cook | Physical Therapist | 2634 Brandermill Blvd, Gambrills, MD 21054-1651 | 2010-03-04 |
| 1114254356 | Emilio Leonardo Rabelo IIi | Physical Therapist | 2634 Brandermill Blvd, Gambrills, MD 21054-1651 | 2009-11-09 |
| 1467623819 | Tracy Michelle Niemeyer | Physical Therapy Assistant | 2634 Brandermill Blvd, Gambrills, MD 21054-1651 | 2008-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447925 | Maksim Simakhodskiy | Massage Therapist | 1328 Waugh Chapel Way, Gambrills, MD 21054 | 2020-11-02 |
| 1013515154 | Ls Creative Agency LLC | Durable Medical Equipment & Medical Supplies | 1153 Route 3 North, Suite 10, Gambrills, MD 21054 | 2020-10-12 |
| 1710510540 | Mijeong Joo-bunyard | Physical Therapist | 1153 Md-3n, Suite 35, Gambrills, MD 21054 | 2020-02-20 |
| 1144873043 | Sadia Cheema | Nurse Practitioner | 1071 Md-3 North, Suite 101, Gambrills, MD 21054 | 2019-07-19 |
| 1235699620 | Sara Fiore Schwartz | Nurse Practitioner | 1071 Md-3 Suite 101, Gambrills, MD 21054 | 2019-03-21 |
| 1447759246 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 2401 Brandermill Boulevard Suite 350, Gambrills, MD 21054 | 2018-02-07 |
| 1821546391 | Aamg Physical Therapy, LLC | Speech-Language Pathologist | 1153 Route 3 N, Suite 35, Gambrills, MD 21054 | 2016-09-14 |
| 1780039818 | Drs Ergent Care, LLC | Clinic/Center | 1071 Route 3 N, Gambrills, MD 21054 | 2016-04-26 |
| 1871851212 | Sarsha Blackman | Dentist | 1166 Route 3 South, Suite 211, Gambrills, MD 21054 | 2012-04-23 |
| 1134485535 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1402 S. Main Chapel Way, Suite 114, Gambrills, MD 21054 | 2012-04-10 |
| Find all providers in zip 21054 | ||||
| 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 |
|---|---|---|---|---|
| 1710510540 | Mijeong Joo-bunyard | Physical Therapist | 1153 Md-3n, Suite 35, Gambrills, MD 21054 | 2020-02-20 |
| 1760849038 | Professional Sportscare, LLC | Physical Therapist | 1404 S Main Chapel Way, Ste 104, Gambrills, MD 21054-1857 | 2016-01-18 |
| 1639385057 | Rachell Roda Flores Oncena | Physical Therapist | 1221 Waugh Chapel Rd, Gambrills, MD 21054-1608 | 2007-05-15 |
| 1457476988 | Barbara Lowndes | Physical Therapist | 730 State Route 3 S, Gambrills, MD 21054-1304 | 2007-03-21 |
| 1508892761 | Professional Sportscare, LLC | Physical Therapist | 2634 Brandermill Blvd, Gambrills, MD 21054-1651 | 2006-06-22 |
| 1194359646 | Scott Goyette | Physical Therapist | 2634 Brandermill Blvd, Gambrills, MD 21054-1651 | 2020-02-24 |
| 1568963304 | Amanda Boyle | Physical Therapist | 2634 Brandermill Blvd, Gambrills, MD 21054-1651 | 2018-02-27 |
| 1841740321 | Professional Sportscare, LLC | Physical Therapist | 2634 Brandermill Blvd, Gambrills, MD 21054-1651 | 2016-10-10 |
| 1568813335 | Andrea Miller | Physical Therapist | 2634 Brandermill Blvd, Gambrills, MD 21054-1651 | 2016-06-23 |
| 1730543042 | Meghan Marie Dawson | Physical Therapist | 2410 Evergreen Rd, #100, Gambrills, MD 21054-1979 | 2016-04-12 |
| Find all providers in GAMBRILLS | ||||
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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.