MARYLAND SPORTSCARE & REHABILITATION OF SALISBURY, LLC (THE SPORTS MEDICINE CENTER) - NPI NUMBER 1205992971

Summary

Provider Name: MARYLAND SPORTSCARE & REHABILITATION OF SALISBURY, LLC (THE SPORTS MEDICINE CENTER)

NPI Number: 1205992971

Clasification: Physical Therapist (225100000X)

Address:
732 E MAIN ST
SALISBURY, MD
ZIP 21804

Phone Number: (443) 260-3050



Detailed Information

MARYLAND SPORTSCARE & REHABILITATION OF SALISBURY, LLC is a physical therapist in Salisbury, MD. The provider is (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. The assigned NPI number for this provider is 1205992971 and is registered as an organization entity type and is a single specialty group.
The provider Other Name Is The Sports Medicine Center.

The provider's business address is:

732 E MAIN ST
SALISBURY, MD
ZIP 21804-037
Phone: (443) 260-3050
Fax: (443) 260-3051

The provider's authorized official is Michele Yoviene .
The authorized official title is Physical Therapist and has the following contact phone number (410) 829-5647.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 225100000X Physical Therapist Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 LV43 OTHER MD BC
2 023M MEDICARE ID-TYPE UNSPECIFIED MD
3 F106 OTHER BCHOICE-FEDERAL #

NPI Record

No. Field Name Field Value
1 NPI 1205992971
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name MARYLAND SPORTSCARE & REHABILITATION OF SALISBURY, LLC
5 Provider Other Organization Name THE SPORTS MEDICINE CENTER
6 Provider Other Organization Name Type Code 5
7 Provider First Line Business Practice Location Address 732 E MAIN ST
8 Provider Business Practice Location Address City Name SALISBURY
9 Provider Business Practice Location Address State Name MD
10 Provider Business Practice Location Address Postal Code 218045037
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 4432603050
13 Provider Business Practice Location Address Fax Number 4432603051
14 Provider Enumeration Date 12/28/2006
15 Last Update Date 7/8/2007
16 Authorized Official Last Name YOVIENE
17 Authorized Official First Name MICHELE
18 Authorized Official Title or Position PHYSICAL THERAPIST
19 Authorized Official Telephone Number 4108295647
20 Healthcare Provider Taxonomy Code 1 225100000X
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 LV43
23 Other Provider Identifier Type Code 1 01
24 Other Provider Identifier State 1 MD
25 Other Provider Identifier Issuer 1 BC
26 Other Provider Identifier 2 023M
27 Other Provider Identifier Type Code 2 04
28 Other Provider Identifier State 2 MD
29 Other Provider Identifier 3 F106
30 Other Provider Identifier Type Code 3 01
31 Other Provider Identifier Issuer 3 BCHOICE-FEDERAL #
32 Authorized Official Name Prefix Text MRS.
33 Authorized Official Credential Text P.T.
34 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 10/12/2014
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