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

Maryland Sports, Spine and Musculoskeletal Institute

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1528586948

Maryland Sports, Spine and Musculoskeletal Institute is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Pasadena, Maryland. Licensed in Maryland. Registered with an NPI since 2017.

Licensed in
MD
In the registry since
2017

Practice location Address checks out

8096 Edwin Raynor Blvd Ste C
Pasadena, MD 21122-6837
Phone: (240) 460-4661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence D0077249 (MD)

Record details

NPI number1528586948
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Waltrous — Owner · (410) 302-0561
Other names Mssmi
NPI enumeratedSeptember 6, 2017
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address3375 Ellicott Center Drive, Po Box 540, Ellicott City, MD 21043