GLEN BURNIE PHYSICAL THERAPY & SPORTSCARE, LLC
NPI 1679630073
Physical Therapist in Columbia, MD
About Glen Burnie Physical Therapy & Sportscare, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLEN BURNIE PHYSICAL THERAPY & SPORTSCARE, LLC (NPI 1679630073), doing business as Pasadena Glen Burnie Pt Offices, is a healthcare organization registered as a physical therapist in Columbia, Maryland and active in the NPI registry since January 2007. The organization lists Tasheda Broughton, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
- 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.
Other Names 2
Group Practice 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)
Glen Burnie Physical Therapy & Sportscare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
65Medicare enrollment records show 65 clinicians reassign Medicare billing to Glen Burnie Physical Therapy & Sportscare, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 19 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 65Source: 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 Glen Burnie Physical Therapy & Sportscare, LLC's NPI number?
The NPI number for Glen Burnie Physical Therapy & Sportscare, LLC is 1679630073. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider is doing business as Pivot Physical Therapy of Greater Baltimore. The provider was formerly known as Pasadena Glen Burnie Pt Offices.
Where is Glen Burnie Physical Therapy & Sportscare, LLC located?
Glen Burnie Physical Therapy & Sportscare, LLC is located at 5500 Knoll North Dr Ste 150, Columbia, MD 21045. The listed phone number is (443) 542-0062.
What is Glen Burnie Physical Therapy & Sportscare, LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Glen Burnie Physical Therapy & Sportscare, LLC enrolled in Medicare?
Yes. Glen Burnie Physical Therapy & Sportscare, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Glen Burnie Physical Therapy & Sportscare, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 65 clinicians in 2 Medicare specialties reassign their Medicare billing to Glen Burnie Physical Therapy & Sportscare, 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 (61) and Occupational Therapist in Private Practice (4). Of these, 5 practice at this address and 19 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 Glen Burnie Physical Therapy & Sportscare, LLC was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Glen Burnie Physical Therapy & Sportscare, Llc · NPI 1679630073
Physical Therapist organization in Columbia, Maryland. Organization record, active in the CMS NPPES registry since January 3, 2007.
## Identity
- **NPI:** 1679630073 (Entity type: Organization)
- **Enumerated:** January 3, 2007
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Also known as:** Pivot Physical Therapy of Greater Baltimore (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Tasheda Broughton, CREDENTIALING MANAGER
## Practice location
- **Address:** 5500 KNOLL NORTH DR STE 150, Columbia, MD 21045-2476
- **Phone:** (443) 542-0062 · **Fax:** (443) 542-0250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 65 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (61), Occupational Therapist in Private Practice (4); 5 practice at this address and 19 within 10 miles; [full list](https://npiprofile.com/npi/1679630073/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1679630073) · Data from the CMS NPPES public registry.