OrganizationActive
Sportmedica, LLC
NPI 1124499751 · Rehabilitation Hospital · Shreveport, LA
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
Established profile(73/100 index)
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
2934 Chardonnay Cir
Shreveport, LA 71106-8418
Phone: (318) 458-8490
Street-level locationGet directions
Mailing address
2934 Chardonnay Cir
Shreveport, LA 71106-8418
Registry dates
- Enumerated
- 2015-10-08
- Last updated
- 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.