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LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC NPI 1740386903


NPI Information

NPI: 1740386903
Provider Name: LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC

Doing Business As: LIFEBRIDGE HEALTH PHYSICAL THERAPY

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
3506 GWYNNBROOK AVE
SUITE 148
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 654-7525
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LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC is a rehabilitation clinic center in Owings Mills, MD. LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC NPI is 1740386903. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifebridge Health Physical Therapy.

The provider's business location address is:

3506 GWYNNBROOK AVE
SUITE 148
OWINGS MILLS, MD
ZIP 21117-409
Phone: (410) 654-7525
Fax: (410) 654-7535

The provider's authorized official is Michael E Tarvin .
The authorized official title is Vice President & Secretary and has the following contact phone number (717) 972-1100.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 10/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.