Maryland Sportscare & Rehab, LLC

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
Ste 101
Westminster, MD 21157-6664

Phone

(410) 876-5600

Fax

(410) 876-1623

NPI assigned

Jan 15, 2016

Last updated

Nov 1, 2024By the provider in NPPES

Organization subpart

No

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 3

Addresses

Other names 1

• PIVOT PHYSICAL THERAPY OF MARYLAND Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Maryland Sportscare & Rehab LLC

  dba Pivot Physical Therapy of Maryland

  • Physical Therapist
  • Westminster, MD
  • NPI 1518951995

  2860440427

  Same PAC ID

Locations

Practitioners 237

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.

• Nisrin Abdel Rahman

  • Physical Therapist
  • Columbia, MD
  • NPI 1386165231
  NPD
• Aneyza Tarhata Abdulsani, P.T.

  • Physical Therapist
  • Pasadena, MD
  • NPI 1568765071
  NPD
• Lior Meir Abraham, LPT

  • Physical Therapist
  • Baltimore, MD
  • NPI 1750420212
  NPD
• Charles Acevedo

  • Physical Therapist
  • Olney, MD
  • NPI 1619658788
  NPD
• Daniel M Akkerman, DPT

  • Physical Therapist
  • Baltimore, MD
  • NPI 1689237117
  NPD
• Samuel Walter Allison

  • Physical Therapist
  • Nottingham, MD
  • NPI 1457046591
  NPD
• Brenda Alto, DPT

  • Physical Therapist
  • Baltimore, MD
  • NPI 1851765283
  NPD
• Steven Carl Andrews, PT

  • Physical Therapist
  • Berlin, MD
  • NPI 1669498341
  NPD
• John Louis Arnold

  • Physical Therapist
  • Frederick, MD
  • NPI 1275419954
  NPD
• Kinnari Jaisinh Ashar

  • Physical Therapist
  • Potomac, MD
  • NPI 1366796641
  NPD
• Bobbi Lynn Bailey, DPT

  • Physical Therapist
  • Berlin, MD
  • NPI 1366133407
  NPD
• Amber Renee Baines, DPT

  • Physical Therapist
  • Laurel, MD
  • NPI 1508424789
  NPD

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1720445174",
    "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": "STE 101",
            "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": "2016-01-15",
        "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
        }
    ],
    "identifiers": [],
    "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"
        }
    ]
}

• Maryland Pain and Spine Center, LLC
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• Maryland Sportscare & Rehab LLC
• Maryland Sportscare & Rehab LLC (Pivot Physical Therapy of Maryland)
• Maryland Sportscare & Rehab, LLC (Pivot Physical Therapy of Maryland)
• Maryland Sportscare & Rehab, LLC (Pivot Physical Therapy of Maryland)
• Maryland Treatment Centers, Inc. (Mountain Manor Treatment Center)
• Maryland Wellness LLC
• Tiffany Masimore, LCSW-C
• Haley Massino, NP

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

• 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.