GLEN BURNIE PHYSICAL THERAPY & SPORTSCARE, LLC
NPI 1396109708
Physical Therapist in Glen Burnie, MD

Active since April 12, 2016
7711 QUARTERFIELD RD STE C2, GLEN BURNIE, MD 21061(410) 766-4047 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 10, 2025, Dec 6, 2023 (2 updates tracked since 2023).

  • Organization
  • Physical Therapist

About GLEN BURNIE PHYSICAL THERAPY & SPORTSCARE, LLC

This page provides the complete NPI Profile along with additional information for Glen Burnie Physical Therapy & Sportscare, Llc, a provider established in Glen Burnie, Maryland operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1396109708 assigned on April 2016. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated one year ago. Glen Burnie Physical Therapy & Sportscare, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Tasheda Broughton Pesc (Manager, Credentialing)

NPI
1396109708 Verify this NPI
Provider Name
GLEN BURNIE PHYSICAL THERAPY & SPORTSCARE, LLC
Other Name Type
(6)
Entity Type
Organization
Location Address
7711 QUARTERFIELD RD STE C2 GLEN BURNIE, MD 21061
Location Phone
(410) 766-4047
Mailing Address
2122 YORK RD STE 300 OAK BROOK, IL 60523
Mailing Phone
(252) 248-3313
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-12-2016
Last Update Date
02-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TASHEDA BROUGHTON PESC

Authorized Official Title
MANAGER, CREDENTIALING
Authorized Official Phone
(252) 248-3313

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physical Therapist
7711 QUARTERFIELD RD STE C2
GLEN BURNIE, MD 21061
Physical Therapist
7711 QUARTERFIELD RD STE C2
GLEN BURNIE, MD 21061
Clinic/Center
7711 QUARTERFIELD RD STE C2
GLEN BURNIE, MD 21061

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396109708, enumerated as an "organization" on April 12, 2016.

The provider is located at 7711 QUARTERFIELD RD STE C2 GLEN BURNIE, MD 21061 and the phone number is (410) 766-4047.

Physical Therapist with taxonomy code 225100000X.