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

Professional Sportscare & Rehab, LLC

Organization Physical Therapist · NPI 1629662556

Professional Sportscare & Rehab, LLC is a Physical Therapist in Rockville, Maryland. Registered with an NPI since 2021.

In the registry since
2021
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

1407 Research Blvd Fl 2
Rockville, MD 20850-3159
Phone: (919) 258-2714
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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 number1629662556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasheda Broughton — Manager, Credentialing · (252) 248-3313
NPI enumeratedFebruary 22, 2021
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

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