MARYLAND SPORTSCARE & REHAB LLC
NPI 1912772245
Physical Therapist in Frederick, MD

Active since November 16, 2023
75 THOMAS JOHNSON DR STE N, FREDERICK, MD 21702(301) 663-0009 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Physical Therapist

About MARYLAND SPORTSCARE & REHAB LLC

This page provides the complete NPI Profile along with additional information for Maryland Sportscare & Rehab Llc, a provider established in Frederick, Maryland operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1912772245 assigned on November 2023. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Maryland Sportscare & Rehab Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Tasheda Broughton Pesc (Credentialing Manager)

NPI
1912772245 Verify this NPI
Provider Name
MARYLAND SPORTSCARE & REHAB LLC
Entity Type
Organization
Location Address
75 THOMAS JOHNSON DR STE N FREDERICK, MD 21702
Location Phone
(301) 663-0009
Mailing Address
2122 YORK RD STE 300 OAK BROOK, IL 60523
Mailing Phone
(252) 248-3313
Mailing Fax
(410) 678-4878
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-16-2023
Last Update Date
11-01-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TASHEDA BROUGHTON PESC

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(252) 248-3313

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912772245, enumerated as an "organization" on November 16, 2023.

The provider is located at 75 THOMAS JOHNSON DR STE N FREDERICK, MD 21702 and the phone number is (301) 663-0009.

Physical Therapist with taxonomy code 225100000X.