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

Lifebridge Sports Medicine and Rehabilitation LLC

Organization Rehabilitation Clinic/Center · NPI 1255941522

Lifebridge Sports Medicine and Rehabilitation LLC is a Rehabilitation Clinic/Center in Eldersburg, Maryland. Registered with an NPI since 2020.

In the registry since
2020
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

6190 Georgetown Blvd
Eldersburg, MD 21784-6460
Phone: (410) 552-4235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X

Record details

NPI number1255941522
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Tarvin — Vice President · (717) 972-1100
NPI enumeratedAugust 3, 2020
Last updated in NPPESAugust 3, 2020
Certification dateAugust 3, 2020
Mailing address4714 Gettysburg Rd, Mechanicsburg, PA 17055-4325

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