Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Professional Sportscare & Rehab, LLC

Organization Physical Therapist · NPI 1487104345

Professional Sportscare & Rehab, LLC is a Physical Therapist in Manassas, Virginia. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11662 Sudley Manor Dr Ste 50 B
Manassas, VA 20109-2842
Phone: (571) 321-5720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1487104345
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasheda Broughton — Manager, Credentialing · (252) 248-3313
Other names Pivot Physical Therapy
NPI enumeratedOctober 4, 2016
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

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