LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
Clinic/Center (Rehabilitation)

Address: 5601 Eastern Ave Unit 406, Baltimore, MD 21224-2726

LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC (NPI# 1750966602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750966602
Entity Type Organization
Organization Name LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
Practice Address 5601 Eastern Ave Unit 406
Baltimore
MD 21224-2726
Practice Telephone 7179721100
Mailing Address 4714 Gettysburg Rd
Mechanicsburg
PA 17055-4325
Mailing Telephone 7179721100
Certification Date 2021-03-12
Enumeration Date 2021-03-12
Last Update Date 2021-03-12
Authorized Official Telephone 7179721100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

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NPI Name Taxonomy Address Enumeration
1154931962 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center - Rehabilitation 41 Magna Way Ste 140, Westminster, MD 21157-3073 2020-08-06
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1063906386 Lifebridge Sports Medicine and Rehabilitation LLC Durable Medical Equipment & Medical Supplies 826 Washington Rd Ste 111, Westminster, MD 21157-5779 2018-06-20
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Office Location

Street Address 5601 EASTERN AVE UNIT 406
City BALTIMORE
State MD
Zip Code 21224-2726

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1811589328 Allison Udris Counselor - Mental Health 251 Bayview Boulevard, Suite 03a511, Baltimore, MD 21224 2021-02-05
1417558131 Olubunmi O Aiyegbusi Nurse Practitioner - Family 1046 Old South Northpoint Rd, Baltimore, MD 21224 2020-11-09
1003413402 Rhonda Bebout Massage Therapist 600 S Highland Ave, 600 B, Baltimore, MD 21224 2020-10-08
1710595517 Lisa Farinelli Registered Nurse - Addiction (Substance Use Disorder) 251 Bayview Bldv, Baltimore, MD 21224 2020-07-17
1891303038 Lorenzo Leggio General Practice Nih/Nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 2020-07-14
1922622737 Johns Hopkins Bayview Medical Center, Inc. Community/Behavioral Health 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 2020-06-08
1194347039 Johns Hopkins Bayview Medical Center, Inc. Clinic/Center - Mental Health (Including Community Mental Health Center) 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 2020-05-14
1366061137 Sai Sachin Divakaruni Student in an Organized Health Care Education/Training Program 5200 Eastern Avenue, Mfl Center Tower, 3rd Floor - Rm 342, Baltimore, MD 21224 2020-04-13
1558995670 Myeong Hyun Chae · Myeong Hyun Chae Dentist - General Practice 7839 Eastern Ave, Baltimore, MD 21224 2020-02-27
1104482561 Alexis Powers Counselor - Professional 3701 Bank St, Baltimore, MD 21224 2019-05-11
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821606583 Fine, Bryant & Wah, Inc. Clinic/Center - Rehabilitation 1707 Whetstone Way, Baltimore, MD 21230-5198 2020-07-20
1861017162 Transformation Healthcare Inc. Clinic/Center - Rehabilitation 326 St Paul Place, Unit 202, Baltimore, MD 21202-1280 2020-06-11
1013546944 National Rehabiliation Hospital, Inc Clinic/Center - Rehabilitation 1838 Greene Tree Rd Ste 245, Baltimore, MD 21208-7110 2020-04-02
1487289781 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center - Rehabilitation 8114 Sandpiper Cir Ste 114, Baltimore, MD 21236-5901 2020-03-06
1568014504 Royal Minds Inc. Clinic/Center - Rehabilitation 3717 E Baltimore St, Baltimore, MD 21224-1509 2019-07-10
1174041727 The Johns Hopkins Hospital · Johns Hopkins Physical Medicine and Rehabilitation Network At Peabody Clinic/Center - Rehabilitation 1 East Mount Vernon Place, Baltimore, MD 21202 2017-09-05
1619061785 Physiotherapy Associates Inc Clinic/Center - Rehabilitation 1585 Sulphur Spring Rd, Suite 110, Baltimore, MD 21227-2536 2006-10-03
1215042023 Rehab Management of Md, Inc. Clinic/Center - Rehabilitation 8800 Old Harford Rd, Baltimore, MD 21234-2867 2006-08-20
1992773048 Select Physical Therapy Holdings Inc Clinic/Center - Rehabilitation 4130 E Joppa Rd, Ste 112, Baltimore, MD 21236 2006-03-14
1790398618 Holistic Health- Counseling & Coaching LLC Clinic/Center - Rehabilitation 2453 Maryland Ave Fl 1, Baltimore, MD 21218-5018 2020-08-29
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Competitor

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City BALTIMORE
Zip Code 21224

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Dataset Information

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.

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