LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC (NPI# 1972852929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972852929 |
| Entity Type | Organization |
| Organization Name | LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC |
| Other Organization Name | LIFEBRIDGE HEALTH PHYSICAL THERAPY |
| Practice Address |
10 Crossroads Drive Suite 208-216 Owings Mills MD 21117-5461 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept Mechanicsburg PA 17055-4325 |
| Practice Telephone | 4433794740 |
| Practice Fax Number | 4433794741 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | MR. MICHAEL E TARVIN (VICE PRESIDENT & SECRETARY) |
| 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 |
| Other Name | Type Code |
|---|---|
| Lifebridge Health Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114215399 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 1364 Martin Blvd Ste 5, Middle River, MD 21220-4104 | 2011-07-21 |
| 1770689879 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 12201 Tullamore Rd, Timonium, MD 21093-7816 | 2006-09-15 |
| 1902184013 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 2120 Blue Spruce Dr E, Suite D, Bel Air, MD 21015-6802 | 2011-07-25 |
| 1467730572 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 118 Shawan Rd, Hunt Valley, MD 21030-1318 | 2011-07-25 |
| 1922396100 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 9712 Belair Rd, Suite 101, Nottingham, MD 21236-1111 | 2011-07-21 |
| 1003104282 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 111 Bata Blvd, Suite C, Belcamp, MD 21017-1427 | 2011-07-21 |
| 1134291156 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 1836 Greene Tree Rd, Baltimore, MD 21208-1301 | 2006-11-14 |
| 1740386903 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 3506 Gwynnbrook Ave, Suite 148, Owings Mills, MD 21117-1409 | 2006-09-15 |
| Street Address |
10 CROSSROADS DRIVE SUITE 208-216 |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117-5461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952315756 | Adv Cntrs for Ortho Surg & Sports Med | Orthopaedic Surgery | 10 Crossroads Drive, Suite 210, Owings Mills, MD 21117 | 2006-07-28 |
| 1508057340 | Adv. Cntrs for Ortho Surg. & Sports Med | Durable Medical Equipment & Medical Supplies | 10 Crossroads Drive, Suite 210, Owings Mills, MD 21117 | 2007-08-07 |
| 1215128053 | Adv Cntrs for Ortho Surg & Sports Med | Durable Medical Equipment & Medical Supplies | 10 Crossroads Drive, Suite 210, Owings Mills, MD 21117 | 2007-08-07 |
| 1649461807 | Adv Cntrs for Ortho Surg & Sports Med | Durable Medical Equipment & Medical Supplies | 10 Crossroads Drive, Suite 210, Owings Mills, MD 21117 | 2007-08-05 |
| 1124111844 | Douglas C Mccorkle | Otolaryngology | 10 Crossroads Drive, Suite 100, Owings Mills, MD 21117 | 2006-10-02 |
| 1366541617 | Michael Ariete | Physical Therapist | 10 Crossroads Drive, Suite 210, Owings Mills, MD 21117-5441 | 2006-09-22 |
| 1881796977 | Stanley Huber | Optometrist | 10 Crossroads Drive, Suite 104, Owings Mills, MD 21117-5499 | 2006-09-01 |
| 1043221088 | Richard Alan Gruen | Ophthalmology | 10 Crossroads Drive, Suite 104, Owings Mills, MD 21117 | 2006-08-11 |
| 1871504803 | Slade Asc, LLC | Clinic/Center | 10 Crossroads Drive, Suite 104, Owings Mills, MD 21117 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| Find all providers in zip 21117 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518056779 | Active Day Md, Inc | Clinic/Center | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-10-12 |
| 1437236999 | Acsr, Inc. | Clinic/Center | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-11-01 |
| 1740386903 | Lifebridge Sports Medicine & Rehabilitation LLC | Clinic/Center | 3506 Gwynnbrook Ave, Suite 148, Owings Mills, MD 21117-1409 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999551 | Physiotherapy Assoicates, Inc. | Clinic/Center | 11200 Rockville Pike Ste 240, Rockville, MD 20852-3154 | 2020-10-14 |
| 1790398618 | Holistic Health- Counseling & Coaching LLC | Clinic/Center | 2453 Maryland Ave Fl 1, Baltimore, MD 21218-5018 | 2020-08-29 |
| 1427669159 | Phaze Counseling Services Inc | Clinic/Center | 4425 Fitch Ave Ste 118, Nottingham, MD 21236-3927 | 2020-08-14 |
| 1154931962 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 41 Magna Way Ste 140, Westminster, MD 21157-3073 | 2020-08-06 |
| 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 |
| 1831734920 | On Track Rehabilitation, LLC | Clinic/Center | 3702 Brenbrook Dr, Randallstown, MD 21133-4116 | 2019-11-12 |
| 1184277303 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 1305 S Salisbury Blvd Unit 5, Salisbury, MD 21801-6845 | 2019-07-17 |
| 1235791625 | Focused Care, LLC | Clinic/Center | 8070 Georgia Ave Ste 605, Silver Spring, MD 20910-4948 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
Please comment or provide details below to improve the information on LIFEBRIDGE SPORTS MEDICINE & 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.