# LIFEBRIDGE SPORTS MEDICINE & REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SELECT MEDICAL
- **Other names:** NovaCare Rehabilitation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114714177
- **Legal business name:** SELECT MEDICAL
- **Authorized official:** MICHAEL TARVIN (VICE PRESIDENT)
- **Authorized official phone:** (717) 972-1100

## Contact information

- **Practice address:** 10084 REISTERSTOWN RD STE 300B, OWINGS MILLS, MD 21117-4160
- **Practice address phone:** (443) 394-2680
- **Mailing address:** 4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2025
- **Last updated:** 04/23/2025