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 Field Definition 1
1 NPI 1205992971 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name MARYLAND SPORTSCARE & REHABILITATION OF SALISBURY, LLC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name THE SPORTS MEDICINE CENTER Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 5 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 732 E MAIN ST The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name SALISBURY The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address State Name MD The State code in the location of the provider being identified.
10 Provider Business Practice Location Address Postal Code 218045037 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 4432603050 The telephone number associated with the location address of the provider being identified.
13 Provider Business Practice Location Address Fax Number 4432603051 The fax number associated with the location address of the provider being identified.
14 Provider Enumeration Date 12/28/2006 The date the provider was assigned a unique identifier (assigned an NPI).
15 Last Update Date 7/8/2007 The date that a record was last updated or changed.
16 Authorized Official Last Name YOVIENE The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
17 Authorized Official First Name MICHELE The first name of the authorized official.
18 Authorized Official Title or Position PHYSICAL THERAPIST The title or position of the authorized official.
19 Authorized Official Telephone Number 4108295647 The 10-position telephone number of the authorized official.
20 Healthcare Provider Taxonomy Code 1 225100000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 LV43 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
23 Other Provider Identifier Type Code 1 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
24 Other Provider Identifier State 1 MD
25 Other Provider Identifier Issuer 1 BC
26 Other Provider Identifier 2 023M Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
27 Other Provider Identifier Type Code 2 04 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
28 Other Provider Identifier State 2 MD
29 Other Provider Identifier 3 F106 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
30 Other Provider Identifier Type Code 3 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
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: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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