Professional Sportscare & Rehab of West Virginia, LLC
NPI 1548404577 · Physical Therapist · Shepherdstown, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Professional Sportscare & Rehab of West Virginia, LLC is a Physical Therapist organization in Shepherdstown, WV (NPI 1548404577).
Provider details
- NPI number
- 1548404577
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Tasheda Broughton, Manager, Credentialing(252) 248-3313
- License
- PT 002689 (WV)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2009-04-21
- Last updated
- 2024-11-01
- Certified
- 2024-11-01
Frequently asked questions
- What is Professional Sportscare & Rehab of West Virginia, LLC's NPI number?
- Professional Sportscare & Rehab of West Virginia, LLC's National Provider Identifier (NPI) is 1548404577, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Sportscare & Rehab of West Virginia, LLC?
- Professional Sportscare & Rehab of West Virginia, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Professional Sportscare & Rehab of West Virginia, LLC located?
- Professional Sportscare & Rehab of West Virginia, LLC's practice location on file with NPPES is 207 S Princess St Ste 3and4, Shepherdstown, WV 25443-1581.
- What is Professional Sportscare & Rehab of West Virginia, LLC's phone number?
- The practice phone number listed in the NPPES registry for Professional Sportscare & Rehab of West Virginia, LLC is (304) 876-8600.
- Does Professional Sportscare & Rehab of West Virginia, LLC accept Medicare?
- Professional Sportscare & Rehab of West Virginia, 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 Professional Sportscare & Rehab of West Virginia, LLC?
- The authorized official listed on Professional Sportscare & Rehab of West Virginia, LLC's NPPES record is Tasheda Broughton, Manager, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Sportscare & Rehab of West Virginia, LLC's NPI active?
- Yes — Professional Sportscare & Rehab of West Virginia, LLC's NPI (1548404577) is active in the NPPES registry as of the last update on 2024-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.