NPIMap

Lifebridge Sports Medicine and Rehabilitation LLC

A Medicare group practice based in Baltimore, MD: 19 NPIs enrolled under one PECOS associate control ID (PAC ID 4385787910), with 48 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4385787910The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services, Part B Supplier - Clinic/Group Practice
Enrolled in
MD
Enrollments
3
Group size
25 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
20In 12 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20100204000732 MD Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1265538359
O20181003002704 MD Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1578055497
O20180724000217 MD Part B Supplier - Clinic/Group Practice 1578055497

NPIs in this group 19

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 48

Clinicians who reassign their Medicare benefits to this group (29) or whom Care Compare lists as members (25).

Sources for this page