# LIFEBRIDGE SPORTS MEDICINE & REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SELECT MEDICAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134096183
- **Legal business name:** SELECT MEDICAL
- **Authorized official:** JOHN DUGGAN (CHIEF LEGAL OFFICER)
- **Authorized official phone:** (717) 972-1100

## Contact information

- **Practice address:** 113 WESTMINSTER PIKE STE 205, REISTERSTOWN, MD 21136-1047
- **Practice address phone:** (410) 526-3030
- **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:** 10/22/2025
- **Last updated:** 10/22/2025