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LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
NPI 1033755434
Clinic/Center - Rehabilitation in Eldersburg, MD

Active since November 20, 2019
6190 GEORGETOWN BLVD, ELDERSBURG, MD 21784(410) 552-4235(410) 552-4248 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lifebridge Sports Medicine And Rehabilitation Llc NPPES

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

LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC (NPI 1033755434) is a healthcare organization registered as a rehabilitation in Eldersburg, Maryland and active in the NPI registry since November 2019. The organization lists Michael E Tarvin, Vice President, as its authorized official.

NPPES Registry Identity

NPI1033755434
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameLIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
Location Address6190 GEORGETOWN BLVDEldersburg, MD 21784-6460
Mailing Address4714 Gettysburg RdMechanicsburg, PA 17055-4325 · (717) 975-4556
Phone(410) 552-4235
Fax(410) 552-4248
Organization SubpartNo
Authorized OfficialMichael E TarvinVice President · (717) 972-1100
Enumeration DateNovember 20, 2019
✔ NPI 1033755434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
6190 GEORGETOWN BLVD, Eldersburg, MD 21784
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Other Providers at the Same Location NPPES 20

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

MS. JAMIE MARIE METEER PTA
Physical Therapy Assistant
6190 GEORGETOWN BLVD, SUITE 108
ELDERSBURG, MD 21784
Carroll County (410) 552-4235
BETTY YU-WAH WANG D.O.
Internal Medicine
6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
Carroll County (410) 552-5050
RANDI E BRAMAN D.O.
Family Medicine
6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
Carroll County (410) 552-5050
FLORIN IOAN NICULESCU M.D. PHD.
Internal Medicine (Rheumatology)
6190 GEORGETOWN BLVD, SUITE 110
ELDERSBURG, MD 21784
Carroll County (410) 795-9700
DR. CHARLES PAUL PALAMONE CHIROPRACTOR
Chiropractor
6190 GEORGETOWN BLVD, SUITE 107
ELDERSBURG, MD 21784
Carroll County (410) 795-7766
TEODORA M. NICULESCU MD
Internal Medicine (Rheumatology)
6190 GEORGETOWN BLVD, SUITE 110
ELDERSBURG, MD 21784
Carroll County (410) 795-9700
DRS. WIENER & DANIELS DPM.PA
Clinic/Center (Podiatric)
6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
Carroll County (410) 363-4343
MS. JENNIFER RENEE CARMICHAEL PT
Physical Therapist
6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
Carroll County (410) 552-4235

Frequently Asked Questions

What is LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC's NPI number?

The NPI number assigned to this healthcare provider is 1033755434, enumerated as an "organization" on November 20, 2019.

Where is the provider located?

The provider is located at 6190 GEORGETOWN BLVD ELDERSBURG, MD 21784 and the phone number is (410) 552-4235.

What is the provider's specialty?

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