NPIMap

Organization Active NPI

Strive Sports Medicine Physical Therapy, LLC

  • Physical Therapist
  • Salisbury, MD
National Provider Identifier
1578273629
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STRIVE SPORTS MEDICINE PHYSICAL THERAPY, LLC
Practice address
112 W Gordy Rd
Salisbury, MD 21801-3309
Phone
(410) 324-3301
Fax
(443) 775-7728
NPI assigned
Nov 30, 2022
Organization subpart
Yes
Parent organization
STRIVE SPORTS MEDICINE PHYSICAL THERAPY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Dr. Travis Light, PT, DPTNPI 1083133102
Title
Owner
Phone
(443) 370-2106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

112 W Gordy Rd
Salisbury, MD 21801-3309

Mailing address

PO Box 475
Fruitland, MD 21826-0475

National Provider Directory

National Provider Directory
Tax ID family
Strive Sports Medicine Physical Therapy LLC2 organizations share this tax ID, including this one
Part of
Strive Sports Medicine Physical Therapy LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1578273629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 475",
            "city": "FRUITLAND",
            "state": "MD",
            "postal_code": "218260475",
            "fax_number": "443-775-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W GORDY RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218013309",
            "telephone_number": "410-324-3301",
            "fax_number": "443-775-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIVE SPORTS MEDICINE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STRIVE SPORTS MEDICINE PHYSICAL THERAPY, LLC",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-370-2106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 30, 2022; 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.