Sports Pro Physical Therapy East

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPORTS PRO PHYSICAL THERAPY EAST

Practice address

626 Admiral Dr Ste D
Annapolis, MD 21401-2151

Phone

(301) 805-5006

NPI assigned

Mar 14, 2022

Organization subpart

Yes

Parent organization

SPORTS PRO PHYSICAL THERAPY LLCAs reported in NPPES

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

Authorized official

Name

Daryl A. Clarke, PTNPI 1689709719

Title

Owner

Phone

(301) 805-5006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Part of

Sports Pro Physical Therapy

Locations

Practitioners 2

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

• Daryl Andrew Clarke, PT

  • Physical Therapist
  • Glenn Dale, MD
  • NPI 1689709719
  Medicare reassignment Care Compare group NPD Authorized official
• Kenny Gaston

  • Student in an Organized Health Care Education/Training Program
  • Mitchellville, MD
  • NPI 1205302973
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1346998978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 ADMIRAL DR STE D",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012151",
            "telephone_number": "410-508-9900",
            "fax_number": "410-571-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 ADMIRAL DR STE D",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012151",
            "telephone_number": "301-805-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS PRO PHYSICAL THERAPY EAST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPORTS PRO PHYSICAL THERAPY LLC",
        "enumeration_date": "2022-03-14",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-805-5006",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne A Spirt I, MD
• Christopher J Spittler, M.D.
• Sara M Spivak, M.A. CCC-SLP
• Cristie Evoline Spivey Nolan
• SPJ Consultants, Inc
• Emily J Sprague, OD
• Marla JB Spring, FNP-C MSN CDE
• Gaurav Srivastava, MD
• SSC Annapolis Operating Company LLC (Heritage Harbour Health and Rehabilitation Center)
• St Johns College Health Center

• Physical Therapist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.