LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC
NPI 1003104282
Clinic/Center - Rehabilitation in Belcamp, MD

NPI Status: Active since July 21, 2011

Contact Information

111 BATA BLVD
SUITE C
BELCAMP, MD
ZIP 21017
Phone: (410) 273-6000
Fax: (410) 273-6061

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  • Organization
  • Clinic/Center
  • Rehabilitation

About LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC

This page provides the complete NPI Profile along with additional information for Lifebridge Sports Medicine & Rehabilitation Llc, a provider established in Belcamp, Maryland operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1003104282 assigned on July 2011. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Jayne Fleck Pool (Chief Compliance Officer)

NPI
1003104282
Provider Name
LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC
Entity Type
Organization
Location Address
111 BATA BLVD SUITE C BELCAMP, MD 21017
Location Phone
(410) 273-6000
Location Fax
(410) 273-6061
Mailing Address
PO BOX 1245 INDIANA, PA 15701
Mailing Phone
(724) 465-3496
Mailing Fax
(410) 273-6061
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-21-2011
Last Update Date
04-25-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAYNE FLECK POOL

Authorized Official Title
CHIEF COMPLIANCE OFFICER
Authorized Official Phone
(610) 884-4803

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
216566MEDICARE OSCAR/CERTIFICATION (06)MD 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003104282, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 2 + 0 + 8 + 2 + 1 + 6 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1003104282.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Therapist
111 BATA BLVD, SUITE C
BELCAMP, MD 21017
Dentist
111 BATA BLVD, SUITE D
BELCAMP, MD 21017
Dentist
111 BATA BLVD
BELCAMP, MD 21017
Physical Therapist (Orthopedic)
111 BATA BLVD
BELCAMP, MD 21017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003104282, enumerated as an "organization" on July 21, 2011.

The provider is located at 111 BATA BLVD SUITE C BELCAMP, MD 21017 and the phone number is (410) 273-6000.

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.