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 1861941395

Professional Sportscare & Rehab, LLC is a Physical Therapist in Fairfax, 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

10940 Fairfax Blvd Ste D1
Fairfax, VA 22030-4301
Phone: (571) 321-5430
Fax: (541) 321-5999
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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 number1861941395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasheda Broughton — Manager, Credentialing · (252) 248-3313
Other names Pivot Physical Therapy
NPI enumeratedSeptember 26, 2016
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

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