OrganizationActive
Professional Sportscare & Rehab, LLC
NPI 1639629298 · Physical Therapist · Arlington, VA
Provider details
- NPI number
- 1639629298
- 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
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
3801 Fairfax Dr
Ste 11
Arlington, VA 22203-1762
Phone: (703) 522-1060
Street-level locationGet directions
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Other names (DBA / former)
- Doing business as
- Pivot Physical Therapy
Registry dates
- Enumerated
- 2016-10-07
- Last updated
- 2024-12-06
- Certified
- 2024-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.