1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Clinic Center
  6. NPI Profile

LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
NPI 1578198339
Clinic/Center - Rehabilitation in Baltimore, MD

Active since March 11, 2020
1836 GREENE TREE RD, BALTIMORE, MD 21208(410) 486-9992(410) 486-8680 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 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 1578198339) is a healthcare organization registered as a rehabilitation in Baltimore, 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

NPI1578198339
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameLIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
Location Address1836 GREENE TREE RDBaltimore, MD 21208-1381
Mailing Address4714 Gettysburg RdMechanicsburg, PA 17055-4325 · (717) 972-1100
Phone(410) 486-9992
Fax(410) 486-8680
Organization SubpartNo
Authorized OfficialMichael E TarvinVice President · (717) 972-1100
Enumeration DateMarch 11, 2020
NPPES CertifiedMarch 11, 2020
✔ NPI 1578198339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
1836 GREENE TREE RD, Baltimore, MD 21208
Open in Google Maps ↗

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.

LIFEBRIDGE HEALTH AND FITNESS LLC
Dietitian, Registered
1836 GREENE TREE RD
BALTIMORE, MD 21208
Baltimore County (410) 484-6800
TONI RENEE JESSOP OT
Specialist
1836 GREENE TREE RD
PIKESVILLE, MD 21208
Baltimore County (410) 486-9992
JOSHUA RODRIGUEZ OTR/L
Occupational Therapist (Physical Rehabilitation)
1836 GREENE TREE RD
PIKESVILLE, MD 21208
Baltimore County (410) 486-9992
LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC
Clinic/Center (Rehabilitation)
1836 GREENE TREE RD
BALTIMORE, MD 21208
Baltimore County (410) 486-9992
MATHEW THOMAS RICHARDSON M.P.T.
Physical Therapist
1836 GREENE TREE RD
BALTIMORE, MD 21208
Baltimore County (410) 486-9992
JASON W PEDERSEN DPT
Physical Therapist
1836 GREENE TREE RD
PIKESVILLE, MD 21208
Baltimore County (410) 486-9992
JAMAI THOMAS
Physical Therapist
1836 GREENE TREE RD
PIKESVILLE, MD 21208
Baltimore County (410) 486-9992
JAYME BETH BLOOM DPT
Physical Therapist
1836 GREENE TREE RD, SUITE 2
PIKESVILLE, MD 21208
Baltimore County (410) 486-9992

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 1578198339. 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 1836 Greene Tree Rd, Baltimore, MD 21208. The listed phone number is (410) 486-9992.

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.