LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC NPI 1699006106

NPI Information

NPI: 1699006106
Provider Name: LIFEBRIDGE SPORTS MEDICINE & REHABILITATION, LLC

Doing Business As: LIFEBRIDGE HEALTH PHYSICAL THERAPY

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

Specialization: Rehabilitation

Address:
515 FAIRMOUNT AVE
SUITE 530
TOWSON, MD
ZIP 21286
Phone: (410) 296-0680
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LIFEBRIDGE SPORTS MEDICINE & REHABILITATION, LLC is a rehabilitation clinic center in Towson, MD. LIFEBRIDGE SPORTS MEDICINE & REHABILITATION, LLC NPI is 1699006106. 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:

515 FAIRMOUNT AVE
SUITE 530
TOWSON, MD
ZIP 21286-466
Phone: (410) 296-0680
Fax: (410) 296-7568

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 1/22/2010 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

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: 4/28/2024

NPI Synchronization or Removal

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