LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC
NPI 1114215399
Clinic/Center - Rehabilitation in Middle River, MD
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 1114215399), doing business as Lifebridge Health Physical Therapy, is a healthcare organization registered as a rehabilitation in Middle River, Maryland and active in the NPI registry since July 2011. The organization lists John F Duggan, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lifebridge Sports Medicine & Rehabilitation Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Lifebridge Sports Medicine & Rehabilitation LLC, which bills Medicare for the services they deliver. Of these, 14 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 27Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1114215399. It was assigned to this organization in the NPPES registry on July 21, 2011. The provider is doing business as Lifebridge Health Physical Therapy.
Where is Lifebridge Sports Medicine & Rehabilitation LLC located?
Lifebridge Sports Medicine & Rehabilitation LLC is located at 1364 Martin Blvd Ste 5, Middle River, MD 21220. The listed phone number is (410) 686-3600.
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.
Is Lifebridge Sports Medicine & Rehabilitation LLC enrolled in Medicare?
Yes. Lifebridge Sports Medicine & Rehabilitation LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifebridge Sports Medicine & Rehabilitation LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 2 Medicare specialties reassign their Medicare billing to Lifebridge Sports Medicine & Rehabilitation LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (26) and Occupational Therapist in Private Practice (1). Of these, 14 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lifebridge Sports Medicine & Rehabilitation LLC was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Lifebridge Sports Medicine & Rehabilitation Llc · NPI 1114215399
Rehabilitation organization in Middle River, Maryland. Organization record, active in the CMS NPPES registry since July 21, 2011.
## Identity
- **NPI:** 1114215399 (Entity type: Organization)
- **Enumerated:** July 21, 2011
- **Primary specialty:** Clinic/Center - Rehabilitation · taxonomy 261QR0400X
- **Also known as:** Lifebridge Health Physical Therapy (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** John Duggan, VICE PRESIDENT
## Practice location
- **Address:** 1364 MARTIN BLVD STE 5, Middle River, MD 21220-4104
- **Phone:** (410) 686-3600 · **Fax:** (410) 686-1056
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (26), Occupational Therapist in Private Practice (1); 14 practice within 10 miles; [full list](https://npiprofile.com/npi/1114215399/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114215399) · Data from the CMS NPPES public registry.