MARYLAND SPORTSCARE & REHAB LLC (NPI# 1750847430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750847430 |
| Entity Type | Organization |
| Organization Name | MARYLAND SPORTSCARE & REHAB LLC |
| Other Organization Name | PIVOT PHYSICAL THERAPY OF MARYLAND |
| Practice Address |
7629 Belair Rd Nottingham MD 21236-4003 |
| Mailing Address |
350 New Fidelity Ct Garner NC 27529-2665 |
| Practice Telephone | 4108702104 |
| Practice Fax Number | 4108706896 |
| Mailing Telephone | 9192582714 |
| Mailing Fax Number | 4106484878 |
| Enumeration Date | 2019-02-18 |
| 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 |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| 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 |
|---|---|---|---|---|
| 1710502380 | Maryland Sportscare & Rehab LLC | Physical Therapist | 321 Dorchester Ave Ste B, Cambridge, MD 21613-2425 | 2020-06-10 |
| 1871154856 | Maryland Sportscare & Rehab LLC | Occupational Therapist | 3100 Boston Street, Baltimore, MD 21298-0001 | 2019-06-21 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1396251732 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8740 Belair Rd, Baltimore, MD 21236-2420 | 2017-12-21 |
| 1083120430 | Maryland Sportscare & Rehab LLC | Physical Therapist | 1845 Brookfield Ct, Frederick, MD 21701-8700 | 2017-12-21 |
| 1518951995 | Maryland Sportscare & Rehab LLC | Speech-Language Pathologist | 844 Washington Rd, Suite 102, Westminster, MD 21157-6664 | 2005-08-31 |
| 1295350866 | Maryland Sportscare & Rehab LLC | Physical Therapist | 2618 N Salisbury Blvd Ste 130, Salisbury, MD 21801-2217 | 2020-06-10 |
| 1205451879 | Maryland Sportscare & Rehab LLC | Physical Therapist | 401 Marvel Ct, Easton, MD 21601-4048 | 2020-06-10 |
| 1801411467 | Maryland Sportscare & Rehab LLC | Physical Therapist | 314 Franklin Ave Ste 501, Berlin, MD 21811-1264 | 2020-06-10 |
| 1639635477 | Maryland Sportscare & Rehab LLC | Occupational Therapist | 801 Elkton Blvd Ste 3, Elkton, MD 21921-5342 | 2019-02-18 |
| Street Address |
7629 BELAIR RD |
| City | NOTTINGHAM |
| State | MD |
| Zip Code | 21236-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629446984 | Dynamic Therapy Services LLC | Physical Therapist | 7629 Belair Rd, Nottingham, MD 21236-4003 | 2015-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| 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 |
|---|---|---|---|---|
| 1073135638 | Leonilo Fajardo Pallasigui | Physical Therapist | 4223 Chapel Rd Apt 201, Nottingham, MD 21236-7613 | 2020-05-17 |
| 1053946012 | Jasmin Eusebio | Physical Therapist | 4940 Campbell Blvd, Nottingham, MD 21236-5900 | 2020-03-10 |
| 1811537814 | Agape Physical Therapy & Sports Rehabilitation Lp | Physical Therapist | 5301 Campbell Blvd, Nottingham, MD 21236-5029 | 2020-01-08 |
| 1972086601 | Felicisimo Infante | Physical Therapist | 7711 Nicole Grace Dr, Nottingham, MD 21236-4069 | 2018-09-10 |
| 1871087551 | Jake Simon | Physical Therapist | 22 Berry Rd, Nottingham, NH 03290-5402 | 2018-06-18 |
| 1750746483 | Khepera Iandiataiyero | Physical Therapist | 4011 Marjeff Pl, Apt C, Nottingham, MD 21236-4514 | 2015-12-23 |
| 1629446984 | Dynamic Therapy Services LLC | Physical Therapist | 7629 Belair Rd, Nottingham, MD 21236-4003 | 2015-09-03 |
| 1417355439 | Raul Namo | Physical Therapist | 9533 Hickoryhurst Dr, Nottingham, MD 21236-4705 | 2014-12-08 |
| 1861821258 | Rakesh K Shah | Physical Therapist | 7912 Marfield Pl, Apt--h, Nottingham, MD 21236-3627 | 2013-11-06 |
| 1891864575 | Alexandra Simonne Beem | Physical Therapist | 3501 Taylor Ave, Nottingham, MD 21236-4406 | 2006-11-07 |
| Find all providers in NOTTINGHAM | ||||
| City | NOTTINGHAM |
| Zip Code | 21236 |
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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.