# MARYLAND SPORTSCARE & REHAB, LLC

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

## Provider details

- **NPI number:** 1447705777
- **Authorized official:** TASHEDA BROUGHTON PESC (MANAGER, CREDENTIALING)
- **Authorized official phone:** (252) 248-3313

## Contact information

- **Practice address:** 790 W KING ST, STE 1, LITTLESTOWN, PA 17340-1456
- **Practice address phone:** (717) 359-1928
- **Mailing address:** 501 FAIRMOUNT AVE, SUITE 302, TOWSON, MD 21286-5457
- **Mailing address phone:** (410) 927-8768
- **Mailing address fax:** (410) 648-4878

## Taxonomy

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

## Other

- **Enumeration date:** 08/16/2016
- **Last updated:** 10/23/2024