Sports Pro Physical Therapy South LLC
NPI 1124438700 · Physical Therapist · Fort Washington, MD
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sports Pro Physical Therapy South LLC is a Physical Therapist organization in Fort Washington, MD (NPI 1124438700).
Provider details
- NPI number
- 1124438700
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Sports Pro Physical Therapy LLC
- Organization subpart
- Yes
- Authorized official
- Daryl Clarke, Owner(301) 805-5006
- License
- 18090 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2014-05-05
- Last updated
- 2014-05-05
Frequently asked questions
- What is Sports Pro Physical Therapy South LLC's NPI number?
- Sports Pro Physical Therapy South LLC's National Provider Identifier (NPI) is 1124438700, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sports Pro Physical Therapy South LLC?
- Sports Pro Physical Therapy South LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Sports Pro Physical Therapy South LLC located?
- Sports Pro Physical Therapy South LLC's practice location on file with NPPES is 930 E Swan Creek Rd, Fort Washington, MD 20744-5250.
- What is Sports Pro Physical Therapy South LLC's phone number?
- The practice phone number listed in the NPPES registry for Sports Pro Physical Therapy South LLC is (301) 805-5006.
- Does Sports Pro Physical Therapy South LLC accept Medicare?
- Sports Pro Physical Therapy South LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sports Pro Physical Therapy South LLC?
- The authorized official listed on Sports Pro Physical Therapy South LLC's NPPES record is Daryl Clarke, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sports Pro Physical Therapy South LLC's NPI active?
- Yes — Sports Pro Physical Therapy South LLC's NPI (1124438700) is active in the NPPES registry as of the last update on 2014-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.