LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC
NPI 1770689879
Clinic/Center - Rehabilitation in Timonium, MD

Q: What is Lifebridge Sports Medicine & Rehabilitation LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Active since September 15, 2006

12201 TULLAMORE RD, TIMONIUM, MD 21093(410) 308-7850(410) 308-7851 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lifebridge Sports Medicine & Rehabilitation Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC (NPI 1770689879), doing business as Lifebridge Health Physical Therapy, is a healthcare organization registered as a rehabilitation in Timonium, Maryland and active in the NPI registry since September 2006. The organization lists John F Duggan, Vice President, as its authorized official.

NPPES Registry Identity

NPI1770689879

Entity TypeOrganization

Primary Taxonomy261QR0400X

Legal Business NameLIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC

Location Address12201 TULLAMORE RDTimonium, MD 21093-7816

Mailing Address4714 Gettysburg Rd, Legal DeptMechanicsburg, PA 17055-4325 · (717) 972-1100

Phone(410) 308-7850

Fax(410) 308-7851

Organization SubpartNo

Authorized OfficialJohn F DugganVice President · (717) 972-1100

Enumeration DateSeptember 15, 2006

Last NPPES UpdateOctober 20, 2025

NPPES CertifiedOctober 20, 2025

✔ NPI 1770689879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities

Taxonomy Code261QR0400X

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X

12201 TULLAMORE RD, Timonium, MD 21093

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Other Names 1

Doing Business AsLifebridge Health Physical Therapy

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE DIGILIO PTA

Physical Therapy Assistant

12201 TULLAMORE RD
TIMONIUM, MD 21093

Baltimore County (410) 308-7850

JORDAN C ALTEKRUSE DPT

Physical Therapist

12201 TULLAMORE RD
TIMONIUM, MD 21093

Baltimore County (410) 308-7850

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 & Rehabilitation LLC's NPI number?

The NPI number for Lifebridge Sports Medicine & Rehabilitation LLC is 1770689879. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is doing business as Lifebridge Health Physical Therapy.

Where is Lifebridge Sports Medicine & Rehabilitation LLC located?

Lifebridge Sports Medicine & Rehabilitation LLC is located at 12201 Tullamore Rd, Timonium, MD 21093. The listed phone number is (410) 308-7850.

What is Lifebridge Sports Medicine & 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 & 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 10 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.