# MARYLAND SPORTSCARE & REHAB, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PIVOT PHYSICAL THERAPY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376080747
- **Authorized official:** TASHEDA BROUGHTON PESC (MANAGER, CREDENTIALING)
- **Authorized official phone:** (252) 248-3313

## Contact information

- **Practice address:** 2219 BEL PRE RD, SILVER SPRING, MD 20906-2204
- **Practice address phone:** (443) 566-4255
- **Practice address fax:** (443) 566-4234
- **Mailing address:** 501 FAIRMOUNT AVE, STE 302, TOWSON, MD 21286-5457
- **Mailing address phone:** (410) 927-8768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2017
- **Last updated:** 10/23/2024