LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
NPI 1255941522
Clinic/Center - Rehabilitation in Eldersburg, MD

Active since August 03, 2020
6190 GEORGETOWN BLVD, ELDERSBURG, MD 21784(410) 552-4235 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 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 1255941522) is a healthcare organization registered as a rehabilitation in Eldersburg, Maryland and active in the NPI registry since August 2020. The organization lists Michael Tarvin, Vice President, as its authorized official.

NPPES Registry Identity

NPI1255941522
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) 972-1100
Organization SubpartNo
Authorized OfficialMichael TarvinVice President · (717) 972-1100
Enumeration DateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
NPI 1255941522 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

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.

Surgery
6190 GEORGETOWN BLVD, SUITE 104
ELDERSBURG, MD 21784
Counselor (Addiction (Substance Use Disorder))
6190 GEORGETOWN BLVD, SUITE 105
ELDERSBURG, MD 21784
Clinic/Center (Rehabilitation)
6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
Social Worker (Clinical)
6190 GEORGETOWN BLVD, SUITE 105
ELDERSBURG, MD 21784
Surgery
6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
Physical Therapist
6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
Nurse Practitioner (Family)
6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
Clinic/Center (Rehabilitation)
6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784

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 And Rehabilitation LLC's NPI number?

The NPI number for Lifebridge Sports Medicine And Rehabilitation LLC is 1255941522. It was assigned to this organization in the NPPES registry on August 3, 2020.

Where is Lifebridge Sports Medicine And Rehabilitation LLC located?

Lifebridge Sports Medicine And Rehabilitation LLC is located at 6190 Georgetown Blvd, Eldersburg, MD 21784. The listed phone number is (410) 552-4235.

What is Lifebridge Sports Medicine And 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 And Rehabilitation LLC was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.