Sportmedica, LLC
NPI 1124499751 · Rehabilitation Hospital · Shreveport, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sportmedica, LLC is a Rehabilitation Hospital organization in Shreveport, LA (NPI 1124499751).
Provider details
- NPI number
- 1124499751
- Entity type
- Organization
- Primary specialty
- Rehabilitation HospitalHospitals
- Organization subpart
- No
- Authorized official
- William Overdyke, Medical Physician/ Owner(318) 458-8490
- License
- MD.014596 (LA)
Specialties & taxonomies
Hospitals
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-10-08
- Last updated
- 2015-10-08
Frequently asked questions
- What is Sportmedica, LLC's NPI number?
- Sportmedica, LLC's National Provider Identifier (NPI) is 1124499751, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sportmedica, LLC?
- Sportmedica, LLC is classified in the NPPES registry as Rehabilitation Hospital (Hospitals).
- Where is Sportmedica, LLC located?
- Sportmedica, LLC's practice location on file with NPPES is 2934 Chardonnay Cir, Shreveport, LA 71106-8418.
- What is Sportmedica, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sportmedica, LLC is (318) 458-8490.
- Does Sportmedica, LLC accept Medicare?
- Sportmedica, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sportmedica, LLC?
- The authorized official listed on Sportmedica, LLC's NPPES record is William Overdyke, Medical Physician/ Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sportmedica, LLC's NPI active?
- Yes — Sportmedica, LLC's NPI (1124499751) is active in the NPPES registry as of the last update on 2015-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.