Organization · Type 2 NPI

Lifebridge Sports Medicine and Rehabilitation LLC

Rehabilitation Clinic/Center · Reisterstown, MD

NPI number 1114224268 Active

Practice location

750 Main St
Reisterstown, MD 21136-2515

Call (410) 526-3030 Map

Fax (410) 526-3037

Mailing address

4714 Gettysburg Rd, Legal Dept
Mechanicsburg, PA 17055-4325

Other practice locations

8600 La Salle Rd Ste 322, Towson, MD 21286-2011 · (410) 828-6778

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Clinic/Center	261QP2000X	None listed
Rehabilitation Clinic/Center Primary	261QR0400X	None listed

Rehabilitation Clinic/Center: Definition to come...

24 other providers at this address

Other rehabilitation clinic/center providers in Reisterstown

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NPI record

NPI: 1114224268
Entity type: Organization (Type 2)
Issued: Feb 24, 2011
Last updated: Aug 17, 2026
Status: Active

Other names

<unavail>
Lifebridge Health Physical Therapy · doing business as
Lifebridge Health Physical Therapy · doing business as

Authorized official

John F Duggan
Vice President
(717) 972-1100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114224268

Lifebridge Sports Medicine and Rehabilitation LLC's National Provider Identifier is 1114224268, issued on Feb 24, 2011. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Reisterstown, MD. The record was last updated on Aug 17, 2026.