LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
NPI 1578055497
Clinic/Center - Rehabilitation in Eldersburg, MD
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 1578055497) is a healthcare organization registered as a rehabilitation in Eldersburg, Maryland and active in the NPI registry since June 2018. The organization lists John F Duggan, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lifebridge Sports Medicine And Rehabilitation Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Lifebridge Sports Medicine And Rehabilitation LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 27Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1578055497. It was assigned to this organization in the NPPES registry on June 6, 2018.
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.
Is Lifebridge Sports Medicine And Rehabilitation LLC enrolled in Medicare?
Yes. Lifebridge Sports Medicine And Rehabilitation LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifebridge Sports Medicine And Rehabilitation LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 2 Medicare specialties reassign their Medicare billing to Lifebridge Sports Medicine And Rehabilitation LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (26) and Occupational Therapist in Private Practice (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lifebridge Sports Medicine And 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 12 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.
# Lifebridge Sports Medicine And Rehabilitation Llc · NPI 1578055497
Rehabilitation organization in Eldersburg, Maryland. Organization record, active in the CMS NPPES registry since June 6, 2018.
## Identity
- **NPI:** 1578055497 (Entity type: Organization)
- **Enumerated:** June 6, 2018
- **Primary specialty:** Clinic/Center - Rehabilitation · taxonomy 261QR0400X
- **Organization subpart:** Yes (part of Select Medical)
- **Authorized official:** John Duggan, VICE PRESIDENT
## Practice location
- **Address:** 6190 GEORGETOWN BLVD, Eldersburg, MD 21784-6460
- **Phone:** (410) 552-4235 · **Fax:** (410) 552-4248
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (26), Occupational Therapist in Private Practice (1); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1578055497/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1578055497) · Data from the CMS NPPES public registry.