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SPORT & SPINE REHAB OF FORT WASHINGTON, LLC
NPI 1912129743
Chiropractor in Ft Washington, MD

Active since May 02, 2007
11418 LIVINGSTON RD, FT WASHINGTON, MD 20744(240) 766-0300(240) 766-0304 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sport & Spine Rehab Of Fort Washington, Llc NPPES

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

SPORT & SPINE REHAB OF FORT WASHINGTON, LLC (NPI 1912129743) is a healthcare organization registered as a chiropractor in Ft Washington, Maryland and active in the NPI registry since May 2007. The organization lists Jay S Greenstein, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912129743
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSPORT & SPINE REHAB OF FORT WASHINGTON, LLC
Location Address11418 LIVINGSTON RDFt Washington, MD 20744-5145
Mailing Address11418 Livingston RdFt Washington, MD 20744-5145 · (240) 766-0300 · Fax (240) 766-0304
Phone(240) 766-0300
Fax(240) 766-0304
Organization SubpartNo
Authorized OfficialJay S GreensteinCeo · (240) 766-0300
Enumeration DateMay 2, 2007
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1912129743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedPhysical TherapistTaxonomy 225100000X
11418 LIVINGSTON RD, Ft Washington, MD 20744
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Other Identifiers 11

OtherMDIPA6115086
Other1049260Ashn Cigna Hmo
OtherDEPT OF LABOR611056000
OtherMAMSI6115086
Other467BBcbs Of Md
Other6115086Optimum Choice
OtherK219Bcbs Of Nca
OtherALLIANCE6115086
Other7253478Aetna Ppo
Other31816933Aetna Hmo
Other671810Cigna Ppo

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sport & Spine Rehab Of Fort Washington, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sport & Spine Rehab Of Fort Washington, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Velizar Dell, DC
Chiropractic
NPI 1629535570
7920 MCDONOGH RD STE 101
Owings Mills, MD 21117
(410) 356-9939
48 mi

Source: 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 Sport & Spine Rehab Of Fort Washington, LLC's NPI number?

The NPI number for Sport & Spine Rehab Of Fort Washington, LLC is 1912129743. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Sport & Spine Rehab Of Fort Washington, LLC located?

Sport & Spine Rehab Of Fort Washington, LLC is located at 11418 Livingston Rd, Ft Washington, MD 20744. The listed phone number is (240) 766-0300.

What is Sport & Spine Rehab Of Fort Washington, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Sport & Spine Rehab Of Fort Washington, LLC enrolled in Medicare?

Yes. Sport & Spine Rehab Of Fort Washington, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sport & Spine Rehab Of Fort Washington, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Sport & Spine Rehab Of Fort Washington, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sport & Spine Rehab Of Fort Washington, LLC was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.