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

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

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: July 19, 2026.

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
Open in Google Maps ↗

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.

JORDAN C ALTEKRUSE DPT
Physical Therapist
12201 TULLAMORE RD
TIMONIUM, MD 21093
Baltimore County (410) 308-7850
NICOLE DIGILIO PTA
Physical Therapy Assistant
12201 TULLAMORE RD
TIMONIUM, MD 21093
Baltimore County (410) 308-7850

Frequently Asked Questions

What is LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC's NPI number?

The NPI number assigned to this healthcare provider is 1770689879, enumerated as an "organization" on September 15, 2006.

Where is the provider located?

The provider is located at 12201 TULLAMORE RD TIMONIUM, MD 21093 and the phone number is (410) 308-7850.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.