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LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC
NPI 1114215399
Clinic/Center - Rehabilitation in Middle River, MD

Active since July 21, 2011
1364 MARTIN BLVD STE 5, MIDDLE RIVER, MD 21220(410) 686-3600(410) 686-1056 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2019, Oct 26, 2018 (2 updates tracked since 2018).

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

NPI1114215399
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameLIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC
Location Address1364 MARTIN BLVD STE 5Middle River, MD 21220-4104
Mailing Address4714 Gettysburg Rd, Legal DeptMechanicsburg, PA 17055-4325 · (717) 972-1100
Phone(410) 686-3600
Fax(410) 686-1056
Organization SubpartNo
Authorized OfficialJohn F DugganVice President · (717) 972-1100
Enumeration DateJuly 21, 2011
Last NPPES UpdateOctober 20, 20252 updates tracked since enumeration
NPPES CertifiedOctober 20, 2025
✔ NPI 1114215399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
1364 MARTIN BLVD STE 5, Middle River, MD 21220
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Other Names 1

Doing Business AsLifebridge Health Physical Therapy

Other Providers at the Same Location NPPES 3

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

SONALI SHAH
Physical Therapist
1364 MARTIN BLVD STE 5
MIDDLE RIVER, MD 21220
Baltimore County (410) 686-3600
LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
Clinic/Center (Rehabilitation)
1364 MARTIN BLVD STE 5
MIDDLE RIVER, MD 21220
Baltimore County (410) 686-3600
SHAWNA RAE SPROUT DPT
Physical Therapist
1364 MARTIN BLVD STE 5
MIDDLE RIVER, MD 21220
Baltimore County (410) 686-3600

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.

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 9 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.