DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARYLAND SPORTSCARE & REHAB LLC

MEDICARE: MARYLAND SPORTSCARE & REHAB LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1750847430
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARYLAND SPORTSCARE & REHAB LLC
Provider Business Mailing Address
First Line : 2122 YORK RD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1925
Country : US
Telephone Number : 252-248-3133
Fax Number : 410-648-4878
Provider Business Practice Location Address
First Line : 7629 BELAIR RD
Second Line :
City : NOTTINGHAM
State : MD
Zip : 21236-4003
Country : US
Telephone Number : 410-870-2104
Fax Number : 410-870-6896
Authorized Official
Title or Position : MANAGER, CREDENTIALING
Name : TASHEDA BROUGHTON
Credential : PESC
Telephone Number : 252-248-3313
Provider Enumeration Date : 02/18/2019
Last Update Date : 11/01/2024

Similar Medicare Providers

1992664999 — KATHERINE YEAGLE
Practice Location Address:
7629 BELAIR RD
NOTTINGHAM, MD
21236-4003
Practice Phone: 410-870-2104
Practice Fax: 410-870-6896
1780610188 — DEXTER A TE PT
Practice Location Address:
7629 BELAIR RD
NOTTINGHAM, MD
21236-4003
Practice Phone: 410-870-2104
Practice Fax: 410-870-6896
1316319734 — SONA SINGH D.P.T
Practice Location Address:
7629 BELAIR RD
NOTTINGHAM, MD
21236-4003
Practice Phone: 410-870-2104
Practice Fax: 410-870-6896
1457046591 — SAMUEL WALTER ALLISON
Practice Location Address:
7629 BELAIR RD
NOTTINGHAM, MD
21236-4003
Practice Phone: 410-870-2104
Practice Fax: 410-870-6896
1083309504 — NICOLE CHRISTINE SANDRUCK
Practice Location Address:
7629 BELAIR RD
NOTTINGHAM, MD
21236-4003
Practice Phone: 410-870-2104
Practice Fax:
1326907049 — KAETLYN ROSEMARIE WATERFIELD INTERN
Practice Location Address:
5022 CAMPBELL BLVD STE L-M
NOTTINGHAM, MD
21236-4969
Practice Phone: 443-442-1568
Practice Fax: 443-442-1569

Directions to “MARYLAND SPORTSCARE & REHAB LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.