Professional Sportscare & Rehab, LLC
NPI 1639629298ActiveOrganization· Physical Therapist· Arlington, VA
Physical Therapist in Arlington, Virginia, registered in NPPES in October 2016. The authorized official on file is Tasheda Broughton, PESC, Manager, Credentialing.
Overview
| NPI | 1639629298 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2016 |
| 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 Arlington
- 1215351242
- 1316352149
- 1003426297
- 1790362689
- 1558595116
- 1063924264
- 1407875685
- 1518492271
- 1497430284
- 1689901902
- 1609553494
- 1922875798