Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Professional Sportscare & Rehab, LLC

Physical Therapist in Chantilly, VA · enumerated 2018 · authorized official Tasheda Broughton, Manager, Credentialing.

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

National Provider Identifier

1619479383

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Registry record

Entity type Organization (Type 2)

Legal business name Professional Sportscare & Rehab, LLC

Other name <Unavail>

Practice address 25370 Eastern Marketplace Plz, Chantilly, VA, 20152

Phone (571) 348-1201

Enumeration date Mar 8, 2018

Last updated in NPPES Dec 6, 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-12-06. Verify at npiregistry.cms.hhs.gov.

Where is Professional Sportscare & Rehab, LLC located?

The practice location on file with NPPES is in Chantilly, VA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-06.