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

Maryland Sportscare & Rehab, LLC

Organization Physical Therapist · NPI 1407212814

Maryland Sportscare & Rehab, LLC is a Physical Therapist in Mount Airy, Maryland. Registered with an NPI since 2016.

In the registry since
2016
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

504 E Ridgeville Blvd Ste 107
Mount Airy, MD 21771-5252
Phone: (301) 829-6811
Fax: (443) 293-7924
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1407212814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasheda Broughton — Manager, Credentialing · (252) 248-3313
Other names Pivot Physical Therapy Of Maryland; Pivot Physical Therapy Of Maryland
NPI enumeratedJanuary 14, 2016
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address350 New Fidelity Ct, Garner, NC 27529-2665

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