Healthcare Provider Details

I. General information

NPI: 1205728904
Provider Name (Legal Business Name): TRUE SPORTS PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7311 GROVE RD STE H
FREDERICK MD
21704-3300
US

IV. Provider business mailing address

3307 TIMBERFIELD LN
BALTIMORE MD
21208-4425
US

V. Phone/Fax

Practice location:
  • Phone: 410-989-3833
  • Fax:
Mailing address:
  • Phone: 410-989-3833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN A ROSENBLATT
Title or Position: OWNER
Credential:
Phone: 410-989-3833