OrganizationActive
Lifebridge Sports Medicine & Rehabilitation LLC
NPI 1114215399 · Rehabilitation Clinic/Center · Middle River, MD
Provider details
- NPI number
- 1114215399
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Duggan, Vice President(717) 972-1100
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapy Clinic/Center261QP2000X
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
1364 Martin Blvd Ste 5
Middle River, MD 21220-4104
Phone: (410) 686-3600
Fax: (410) 686-1056
Street-level locationGet directions
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Other names (DBA / former)
- Doing business as
- Lifebridge Health Physical Therapy
- Doing business as
- Lifebridge Health Physical Therapy
Registry dates
- Enumerated
- 2011-07-21
- Last updated
- 2025-10-20
- Certified
- 2025-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.