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 1619479383

Professional Sportscare & Rehab, LLC is a Physical Therapist in Chantilly, Virginia. Registered with an NPI since 2018.

In the registry since
2018
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

25370 Eastern Marketplace Plz
Chantilly, VA 20152-1426
Phone: (571) 348-1201
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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 number1619479383
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasheda Broughton — Manager, Credentialing · (252) 248-3313
Other names Pivot Physical Therapy Of Metro Dc
NPI enumeratedMarch 8, 2018
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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