NPIMap

Organization Active NPI

Maryland Sportscare & Rehab LLC

Doing business as Pivot Physical Therapy of Maryland

  • Physical Therapist
  • Westminster, MD
National Provider Identifier
1518951995
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MARYLAND SPORTSCARE & REHAB LLC
Doing business as
Pivot Physical Therapy of Maryland
Practice address
844 Washington Rd
Suite 102
Westminster, MD 21157-6664
Phone
(410) 876-5600
Fax
(410) 876-1623
NPI assigned
Aug 31, 2005
Last updated
Nov 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Tasheda Broughton, PESC
Title
Manager, Credentialing
Phone
(252) 248-3313

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Physical Therapy Clinic/Center 261QP2000X NU

Addresses

Primary practice location

844 Washington Rd
Suite 102
Westminster, MD 21157-6664

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (252) 248-3313

Other identifiers 4

IdentifierTypeStateIssuer
2160584OtherUHC
2160584OtherACN
7914198OtherAETNA
T208OtherMDBLUECHOICE

Other names 1

  • PIVOT PHYSICAL THERAPY OF MARYLAND Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150722004978 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2860440427 Receives reassigned benefits from 10 practitioners
Practice locations: Littlestown, PA
O20150811004765 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2860440427 Receives reassigned benefits from 197 practitioners
Practice locations: Gaithersburg, MD; Silver Spring, MD; Rockville, MD; Potomac, MD; Olney, MD; Lanham, MD; Germantown, MD; Damascus, MD…
O20151113000065 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2860440427 Receives reassigned benefits from 267 practitioners

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

744 S Philadelphia Blvd
Ste C
Aberdeen, MD 21001
Phone (410) 339-1951

1013 Bay Ridge Ave
Ste 410
Annapolis, MD 21403
Phone (443) 221-7743

711 W 40th St
Ste 352
Baltimore, MD 21211
Phone (410) 243-5399

314 Franklin Ave
Ste 501
Berlin, MD 21811
Phone (410) 641-0999

5411 W Cedar Ln
Ste 105A
Bethesda, MD 20814
Phone (301) 251-4424

1845 Brookfield Ct
Frederick, MD 21701
Phone (301) 228-2254

5100 Buckeystown Pike
Ste 158
Frederick, MD 21704
Phone (301) 620-7478

828 Muddy Branch Rd
Ste 14
Gaithersburg, MD 20878
Phone (301) 685-1311

2830 Campus Way N
Ste 616
Lanham, MD 20706
Phone (301) 798-7014

431 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (301) 829-6811

2540 Pulaski Hwy
#B
North East, MD 21901
Phone (410) 339-1960

8740 Belair Rd
Nottingham, MD 21236
Phone (410) 339-1693

10220 River Rd
Potomac, MD 20854
Phone (240) 499-8854

745 Solomons Island Rd N
Prince Frederick, MD 20678
Phone (410) 885-4710

8665 Pulaski Hwy
Ste 114
Rosedale, MD 21237
Phone (410) 339-1966

417 E Baltimore St
Ste E
Taneytown, MD 21787
Phone (410) 514-2536

1 Texas Station Ct
Ste 315
Timonium, MD 21093
Phone (410) 628-2180

410 Meadow Creek Dr
Ste 106
Westminster, MD 21158
Phone (410) 861-5487

511 Jermor Ln
Ste 102
Westminster, MD 21157
Phone (410) 415-1992

Interoperability endpoints

  • Direct secure messaging: aharshey@direct.pivoths.com

Practitioners & affiliated clinicians

Practitioners 316

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 316

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1518951995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "252-248-3313",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON RD",
            "address_2": "SUITE 102",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576664",
            "telephone_number": "410-876-5600",
            "fax_number": "410-876-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND SPORTSCARE & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "BROUGHTON",
        "authorized_official_first_name": "TASHEDA",
        "authorized_official_title_or_position": "MANAGER, CREDENTIALING",
        "authorized_official_telephone_number": "252-248-3313",
        "authorized_official_credential": "PESC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2160584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "2160584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7914198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE",
            "identifier": "T208",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIVOT PHYSICAL THERAPY OF MARYLAND",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PIVOT PHYSICAL THERAPY OF MARYLAND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.