OrganizationActive
Lifebridge Sports Medicine & Rehabilitation LLC
NPI 1003104282 · Rehabilitation Clinic/Center · Belcamp, MD
Provider details
- NPI number
- 1003104282
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jayne Pool, Chief Compliance Officer(610) 884-4803
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Bata Blvd
Suite C
Belcamp, MD 21017-1427
Phone: (410) 273-6000
Fax: (410) 273-6061
Street-level locationGet directions
Mailing address
Po Box 1245
Indiana, PA 15701-5245
Registry dates
- Enumerated
- 2011-07-21
- Last updated
- 2012-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.