Professional Sportscare & Rehab, LLC
NPI 1518492511ActiveOrganization· Physical Therapist· Centreville, VA
Physical Therapist in Centreville, Virginia, registered in NPPES in April 2017. The authorized official on file is Tasheda Broughton, PESC, Manager, Credentialing.
Overview
| NPI | 1518492511 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 27, 2017 |
| Last updated in NPPES | Dec 6, 2024 |
| Certified by provider | Dec 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapist providers in Centreville
- 1255682654
- 1639594831
- 1205676426
- 1114640695
- 1912421108
- 1871959726
- 1396498838
- 1942676770
- 1366804320
- 1033064449
- 1659703692
- 1326538679