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Sports Pro Physical Therapy LLC

Physical Therapist in Upper Marlboro, MD · enumerated 2005 · authorized official Daryl Clarke, Director of Pt Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285611608

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Registry record

Entity type Organization (Type 2)
Legal business name Sports Pro Physical Therapy LLC
Practice address 9440 Pennsylvania Ave, # 215, Upper Marlboro, MD, 20772
Fax (301) 599-8878
Enumeration date Dec 28, 2005
Last updated in NPPES Sep 1, 2015

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 18090 (MD) Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2800 (DC) Secondary

Authorized official

Name Daryl Clarke
Title Director of Pt Owner

Other identifiers

Identifier Type State Issuer
68640202 Other - PROVIDER CAREFIRST BLUECR
7910288 Other - AETNA PPO
H853001 Other - CAREFIRST BLUE CROSS BLUE
2320527 Other - UNITED HEALTHCARE MID ATL
270001084 Other - CORVEL
466223 Other - MAMSI PROVIDER NUMBER
523780 Other - NCPPO PROVIDER
KER3SP Other - GRP CAREFIRST BLUE CROSS
101837200 Other - DOL OWCP
3204256 Other - AETNA HMO

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Sports Pro Physical Therapy LLC located?
The practice location on file with NPPES is in Upper Marlboro, MD.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-09-01. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-09-01.