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

Glen Burnie Physical Therapy & Sportscare, LLC

Organization Physical Therapist · NPI 1417319211

Glen Burnie Physical Therapy & Sportscare, LLC is a Physical Therapist in Columbia, Maryland. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8890 Centre Park Dr Ste 400
Columbia, MD 21045-2188
Phone: (410) 884-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1417319211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasheda Broughton — Manager, Credentialing · (252) 248-3313
Other names Pivot Physical Therapy Of Greater Baltimore; Pivot Physical Therapy Of Greater Baltimore
NPI enumeratedMarch 22, 2016
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing address2122 York Rd Ste 500, Oak Brook, IL 60523-1930

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