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

Proformance Sports Rehabilitation

Organization Sports Physical Therapist · NPI 1720562069

Proformance Sports Rehabilitation is a Sports Physical Therapist in Severna Park, Maryland. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

116 Berrywood Dr
Severna Park, MD 21146-2004
Phone: (443) 203-9388
Fax: (443) 775-3607
Show map & directions

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

Additional practice locations (1)

  • 2637 Streamview Dr, Odenton, MD 21113-1579 — (860) 917-7610

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X
Sports Physical Therapist Taxonomy 2251S0007X

Record details

NPI number1720562069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Branden Cohen — Owner/Physical Therapist · (860) 917-7610
NPI enumeratedSeptember 22, 2018
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing address2637 Streamview Dr, Odenton, MD 21113-1579