Glen Burnie Physical Therapy & Sportscare, LLC
NPI 1679630073 · Physical Therapist · Columbia, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Glen Burnie Physical Therapy & Sportscare, LLC is a Physical Therapist organization in Columbia, MD (NPI 1679630073).
Provider details
- NPI number
- 1679630073
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Tasheda Broughton, Credentialing Manager(252) 248-3313
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
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
19 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
Other names (DBA / former)
- Former legal business name
- Pasadena Glen Burnie PT Offices
- Former legal business name
- Pasadena Glen Burnie PT Offices
- Doing business as
- Pivot Physical Therapy of Greater Baltimore
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2024-11-01
- Certified
- 2024-11-01
Frequently asked questions
- What is Glen Burnie Physical Therapy & Sportscare, LLC's NPI number?
- Glen Burnie Physical Therapy & Sportscare, LLC's National Provider Identifier (NPI) is 1679630073, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glen Burnie Physical Therapy & Sportscare, LLC?
- Glen Burnie Physical Therapy & Sportscare, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Glen Burnie Physical Therapy & Sportscare, LLC located?
- Glen Burnie Physical Therapy & Sportscare, LLC's practice location on file with NPPES is 5500 Knoll North Dr Ste 150, Columbia, MD 21045-2476.
- What is Glen Burnie Physical Therapy & Sportscare, LLC's phone number?
- The practice phone number listed in the NPPES registry for Glen Burnie Physical Therapy & Sportscare, LLC is (443) 542-0062.
- Does Glen Burnie Physical Therapy & Sportscare, LLC accept Medicare?
- Glen Burnie Physical Therapy & Sportscare, 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 Glen Burnie Physical Therapy & Sportscare, LLC?
- The authorized official listed on Glen Burnie Physical Therapy & Sportscare, LLC's NPPES record is Tasheda Broughton, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glen Burnie Physical Therapy & Sportscare, LLC's NPI active?
- Yes — Glen Burnie Physical Therapy & Sportscare, LLC's NPI (1679630073) is active in the NPPES registry as of the last update on 2024-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.