Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Professional Sportscare & Rehab of West Virginia, LLC

Physical Therapist in Charles Town, WV · enumerated 2016 · authorized official Tasheda Broughton, Manager, Credentialing.

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

National Provider Identifier

1407301518

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Registry record

Entity type Organization (Type 2)

Legal business name Professional Sportscare & Rehab of West Virginia, LLC

Other name <Unavail>

Practice address 46 Trifecta Pl, Ste 104, Charles Town, WV, 25414

Phone (304) 728-9087

Enumeration date Aug 18, 2016

Last updated in NPPES Nov 1, 2024

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Professional Sportscare & Rehab of West Virginia, LLC located?

The practice location on file with NPPES is in Charles Town, WV.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-11-01. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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