Lifebridge Sports Medicine and Rehabilitation LLC
NPI 1578055497 · Rehabilitation Clinic/Center · Eldersburg, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifebridge Sports Medicine and Rehabilitation LLC is a Rehabilitation Clinic/Center organization in Eldersburg, MD (NPI 1578055497).
Provider details
- NPI number
- 1578055497
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Select Medical
- Organization subpart
- Yes
- 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
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2018-06-06
- Last updated
- 2025-10-20
- Certified
- 2025-10-20
Frequently asked questions
- What is Lifebridge Sports Medicine and Rehabilitation LLC's NPI number?
- Lifebridge Sports Medicine and Rehabilitation LLC's National Provider Identifier (NPI) is 1578055497, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifebridge Sports Medicine and Rehabilitation LLC?
- Lifebridge Sports Medicine and Rehabilitation LLC is classified in the NPPES registry as Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lifebridge Sports Medicine and Rehabilitation LLC located?
- Lifebridge Sports Medicine and Rehabilitation LLC's practice location on file with NPPES is 6190 Georgetown Blvd, Eldersburg, MD 21784-6460.
- What is Lifebridge Sports Medicine and Rehabilitation LLC's phone number?
- The practice phone number listed in the NPPES registry for Lifebridge Sports Medicine and Rehabilitation LLC is (410) 552-4235.
- Does Lifebridge Sports Medicine and Rehabilitation LLC accept Medicare?
- Lifebridge Sports Medicine and Rehabilitation 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 Lifebridge Sports Medicine and Rehabilitation LLC?
- The authorized official listed on Lifebridge Sports Medicine and Rehabilitation LLC's NPPES record is John Duggan, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifebridge Sports Medicine and Rehabilitation LLC's NPI active?
- Yes — Lifebridge Sports Medicine and Rehabilitation LLC's NPI (1578055497) is active in the NPPES registry as of the last update on 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.