LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
NPI 1033755434
Clinic/Center - Rehabilitation in Eldersburg, MD

NPI Status: Active since November 20, 2019

Contact Information

6190 GEORGETOWN BLVD
ELDERSBURG, MD
ZIP 21784
Phone: (410) 552-4235
Fax: (410) 552-4248

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  • Organization
  • Clinic/Center
  • Rehabilitation

About LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC

This page provides the complete NPI Profile along with additional information for Lifebridge Sports Medicine And Rehabilitation Llc, a provider established in Eldersburg, Maryland operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1033755434 assigned on November 2019. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Michael E Tarvin (Vice President)

NPI
1033755434
Provider Name
LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
Entity Type
Organization
Location Address
6190 GEORGETOWN BLVD ELDERSBURG, MD 21784
Location Phone
(410) 552-4235
Location Fax
(410) 552-4248
Mailing Address
4714 GETTYSBURG RD MECHANICSBURG, PA 17055
Mailing Phone
(717) 975-4556
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-20-2019
Last Update Date
11-20-2019
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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

Clinic/Center Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities

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

MICHAEL E TARVIN

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(717) 972-1100

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033755434
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20631451046
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 4 + 5 + 1 + 0 + 4 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1033755434 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669439121MS. JAMIE MARIE METEER PTA
Individual
Physical Therapy Assistant6190 GEORGETOWN BLVD SUITE 108
ELDERSBURG, MD 21784
(410) 552-4235
1851310759 BETTY YU-WAH WANG D.O.
Individual
Internal Medicine6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
(410) 552-5050
1285645747 RANDI E BRAMAN D.O.
Individual
Family Medicine6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
(410) 552-5050
1306930805 FLORIN IOAN NICULESCU M.D. PHD.
Individual
Internal Medicine (Rheumatology)6190 GEORGETOWN BLVD SUITE 110
ELDERSBURG, MD 21784
(410) 795-9700
1467540823DR. CHARLES PAUL PALAMONE CHIROPRACTOR
Individual
Chiropractor6190 GEORGETOWN BLVD SUITE 107
ELDERSBURG, MD 21784
(410) 795-7766
1326113192MS. KATHRYN MARY KAROL PT
Individual
Physical Therapist6190 GEORGETOWN BLVD 108
ELDERSBURG, MD 21784
(410) 552-4235
1558497743 TEODORA M. NICULESCU MD
Individual
Internal Medicine (Rheumatology)6190 GEORGETOWN BLVD SUITE 110
ELDERSBURG, MD 21784
(410) 795-9700
1841418936DRS. WIENER & DANIELS DPM.PA
Organization
Clinic/Center (Podiatric)6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
(410) 363-4343
1134335508MS. JENNIFER RENEE CARMICHAEL PT
Individual
Physical Therapist6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
(410) 552-4235
1104081983MRS. SANDRA K SAVILLE LCSW-C
Individual
Social Worker (Clinical)6190 GEORGETOWN BLVD SUITE 105
ELDERSBURG, MD 21784
(410) 552-9004
1467606319SINAI HOSPITAL OF BALTIMORE, INC
Organization
Family Medicine6190 GEORGETOWN BLVD
SYKESVILLE, MD 21784
(410) 552-5050
1588800858ELDERSBURG ARTHRITIS LLC
Organization
Internal Medicine (Rheumatology)6190 GEORGETOWN BLVD SUITE 110
ELDERSBURG, MD 21784
(410) 795-9700
1750615084 KATHLEEN BURKE P.D.
Individual
Pharmacist6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
(410) 552-4220
1942588827MRS. KERRI LEIGH DAVIS CRNP
Individual
Nurse Practitioner (Family)6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
(410) 552-5050
1023399565MR. DONALD L HALL LCADC
Individual
Counselor (Addiction (Substance Use Disorder))6190 GEORGETOWN BLVD SUITE 105
ELDERSBURG, MD 21784
(410) 552-9004
1609919497DR. EILEEN S WIESENBERGER DO
Individual
Internal Medicine6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
(410) 552-5050
1841732047 MELISSA BASSETT
Individual
Nurse Practitioner (Family)6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
(410) 552-5050
1578055497LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
Organization
Clinic/Center (Rehabilitation)6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
(410) 552-4235
1265538359LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
Organization
Clinic/Center (Rehabilitation)6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
(410) 552-4235
1255941522LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
Organization
Clinic/Center (Rehabilitation)6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784
(410) 552-4235

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033755434, enumerated in the NPI registry as an "organization" on November 20, 2019

The provider is located at 6190 Georgetown Blvd Eldersburg, Md 21784 and the phone number is (410) 552-4235

This medical organization specializes in Clinic/Center with taxonomy code 261QR0400X with a focus in Rehabilitation

This NPI record was last updated on November 20, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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