LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
NPI 1487289245
Clinic/Center - Rehabilitation in Middle River, MD

Q: 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.

Active since March 11, 2020

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

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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 1487289245) is a healthcare organization registered as a rehabilitation in Middle River, Maryland and active in the NPI registry since March 2020. The organization lists Michael E Tarvin, Vice President, as its authorized official.

NPPES Registry Identity

NPI1487289245

Entity TypeOrganization

Primary Taxonomy261QR0400X

Legal Business NameLIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC

Location Address1364 MARTIN BLVD STE 5Middle River, MD 21220-4104

Mailing Address4714 Gettysburg RdMechanicsburg, PA 17055-4325 · (717) 972-1100

Phone(410) 686-3600

Fax(410) 686-1056

Organization SubpartNo

Authorized OfficialMichael E TarvinVice President · (717) 972-1100

Enumeration DateMarch 11, 2020

NPPES CertifiedMarch 11, 2020

✔ NPI 1487289245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities

Taxonomy Code261QR0400X

1364 MARTIN BLVD STE 5, Middle River, MD 21220

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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.

LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC

Clinic/Center (Rehabilitation)

1364 MARTIN BLVD STE 5
MIDDLE RIVER, MD 21220

Baltimore County (410) 686-3600

SONALI SHAH

Physical Therapist

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 And Rehabilitation LLC's NPI number?

The NPI number for Lifebridge Sports Medicine And Rehabilitation LLC is 1487289245. It was assigned to this organization in the NPPES registry on March 11, 2020.

Where is Lifebridge Sports Medicine And Rehabilitation LLC located?

Lifebridge Sports Medicine And 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 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 March 11, 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.