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

Active since July 21, 2011
111 BATA BLVD, SUITE C, BELCAMP, MD 21017(410) 273-6000(410) 273-6061 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifebridge Sports Medicine & Rehabilitation Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC (NPI 1003104282) is a healthcare organization registered as a rehabilitation in Belcamp, Maryland and active in the NPI registry since July 2011. The organization lists Jayne Fleck Pool, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1003104282
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameLIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC
Location Address111 BATA BLVD, SUITE CBelcamp, MD 21017-1427
Mailing AddressPo Box 1245Indiana, PA 15701-5245 · (724) 465-3496 · Fax (215) 413-4682
Phone(410) 273-6000
Fax(410) 273-6061
Organization SubpartNo
Authorized OfficialJayne Fleck PoolChief Compliance Officer · (610) 884-4803
Enumeration DateJuly 21, 2011
Last NPPES UpdateApril 25, 2012
✔ NPI 1003104282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
111 BATA BLVD, Belcamp, MD 21017
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Other Identifiers 1

Medicare OSCAR/certification216566MD

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL KIRCHNER D.D.S.
Dentist
111 BATA BLVD
BELCAMP, MD 21017
Harford County (410) 272-1535
NEELU S MILAK
Dentist
111 BATA BLVD, SUITE D
BELCAMP, MD 21017
Harford County (410) 272-1535
CHRISTINE YURCIK
Physical Therapist (Orthopedic)
111 BATA BLVD
BELCAMP, MD 21017
Harford County (410) 273-6000
HENNING & COLE THERAPY ASSOCIATES, LTD.
Physical Therapist
111 BATA BLVD, SUITE C
BELCAMP, MD 21017
Harford County (410) 273-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifebridge Sports Medicine & Rehabilitation LLC's NPI number?

The NPI number for Lifebridge Sports Medicine & Rehabilitation LLC is 1003104282. It was assigned to this organization in the NPPES registry on July 21, 2011.

Where is Lifebridge Sports Medicine & Rehabilitation LLC located?

Lifebridge Sports Medicine & Rehabilitation LLC is located at 111 Bata Blvd Suite C, Belcamp, MD 21017. The listed phone number is (410) 273-6000.

What is Lifebridge Sports Medicine & Rehabilitation LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Lifebridge Sports Medicine & Rehabilitation LLC was last updated on April 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.