Organization Active NPI

Maryland Sportscare & Rehabilitation of Salisbury, LLC

  • Physical Therapist
  • Salisbury, MD
National Provider Identifier
1205992971
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MARYLAND SPORTSCARE & REHABILITATION OF SALISBURY, LLC
Practice address
732 E Main St
Salisbury, MD 21804-5037
Phone
(443) 260-3050
Fax
(443) 260-3051
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Michele Yoviene, P.T.
Title
Physical Therapist
Phone
(410) 829-5647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

732 E Main St
Salisbury, MD 21804-5037

Mailing address

732 E Main St
Salisbury, MD 21804-5037
Phone (443) 260-3050

Other identifiers 2

IdentifierTypeStateIssuer
LV43OtherMDBC
F106OtherBCHOICE-FEDERAL #

Other names 1

  • THE SPORTS MEDICINE CENTER Other name

National Provider Directory

National Provider Directory

Locations

732 E Main St
Salisbury, MD 21804
Phone (443) 260-3050

106 Pine Bluff Rd
Ste 14
Salisbury, MD 21801
Phone (443) 260-4994

732 E Main St
Ste A
Salisbury, MD 21804
Phone (443) 260-3050

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205992971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 E MAIN ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045037",
            "telephone_number": "443-260-3050",
            "fax_number": "443-260-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 E MAIN ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045037",
            "telephone_number": "443-260-3050",
            "fax_number": "443-260-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND SPORTSCARE & REHABILITATION OF SALISBURY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOVIENE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "410-829-5647",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "LV43",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCHOICE-FEDERAL #",
            "identifier": "F106",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE SPORTS MEDICINE CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.