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Professional Sportscare & Rehab of West Virginia, LLC

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

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

National Provider Identifier

1780134353

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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 39 Maddex Dr, Ste 2, Shepherdstown, WV, 25443
Enumeration date Oct 7, 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

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

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.
Where is Professional Sportscare & Rehab of West Virginia, LLC located?
The practice location on file with NPPES is in Shepherdstown, WV.

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