MARYLAND SPORTS, SPINE AND MUSCULOSKELETAL INSTITUTE
NPI 1528586948
Physical Medicine & Rehabilitation - Sports Medicine in Pasadena, MD
NPI Status: Active since September 06, 2017
Contact Information
8096 EDWIN RAYNOR BLVD STE C
PASADENA, MD
ZIP 21122
Phone: (240) 460-4661
- Organization
- Physical Medicine & Rehabilitation
- Sports Medicine
- CLIA Number: 21D0215646
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-17-2026
About MARYLAND SPORTS, SPINE AND MUSCULOSKELETAL INSTITUTE
This page provides the complete NPI Profile along with additional information for Maryland Sports, Spine And Musculoskeletal Institute, a provider established in Pasadena, Maryland operating as a Physical Medicine & Rehabilitation, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1528586948 assigned on September 2017. The practitioner's primary taxonomy code is 2081S0010X with license number D0077249 (MD). The provider is registered as an organization and their NPI record was last updated February 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's
- NPI
- 1528586948
- Provider Legal Name
- MARYLAND SPORTS, SPINE AND MUSCULOSKELETAL INSTITUTE
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 8096 EDWIN RAYNOR BLVD STE C PASADENA, MD 21122
- Location Phone
- (240) 460-4661
- Mailing Address
- 3375 ELLICOTT CENTER DRIVE PO BOX 540 ELLICOTT CITY, MD 21043
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-06-2017
- Last Update Date
- 02-06-2026
- Code Navigator
Location Map
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 Medicine & Rehabilitation Sports Medicine
- Taxonomy Code
- 2081S0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D0077249
- License State
- MD
- Taxonomy Description
- A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D0215646
- Facility Type
- Physician Office
- Certificate Effective Date
- May 18, 2024
- Certificate Expiration Date
- May 17, 2026
- Laboratory Director
- TRACY A. JANSEN MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Maryland Sports, Spine And Musculoskeletal Institute in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1528586948, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
PASADENA, MD 21122
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528586948, enumerated as an "organization" on September 06, 2017.
The provider is located at 8096 EDWIN RAYNOR BLVD STE C PASADENA, MD 21122 and the phone number is (240) 460-4661.
Physical Medicine & Rehabilitation with taxonomy code 2081S0010X and a focus in Sports Medicine.
