Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bayside Physical Therpay and Sports Rehabilitation, Inc

Organization Physical Therapist · NPI 1114096880

Bayside Physical Therpay and Sports Rehabilitation, Inc is a Physical Therapist in Edgewater, Maryland. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3179 Braverton St Ste 201
Edgewater, MD 21037-2665
Phone: (410) 956-4308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1114096880
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Wrenn — Vice President · (410) 956-4308
NPI enumeratedNovember 7, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address3179 Braverton St, Suite 201, Edgewater, MD 21037-2665

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