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Professional Sportscare & Rehab of West Virginia, LLC

Physical Therapist in Ranson, WV · enumerated 2019 · authorized official Tasheda Broughton, Manager, Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366916546

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Registry record

Entity type Organization (Type 2)
Legal business name Professional Sportscare & Rehab of West Virginia, LLC
Practice address 34 W Virginia Way, Ranson, WV, 25438
Phone (304) 728-9090
Enumeration date Jan 22, 2019
Last updated in NPPES Nov 1, 2024

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Tasheda Broughton
Title Manager, Credentialing
Phone (252) 248-3313

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Professional Sportscare & Rehab of West Virginia, LLC?
The NPI for Professional Sportscare & Rehab of West Virginia, LLC is 1366916546, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Professional Sportscare & Rehab of West Virginia, LLC?
NPPES lists Tasheda Broughton (Manager, Credentialing) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-01.