OrganizationActive
Professional Sportscare & Rehab, LLC
NPI 1689176364 · Physical Therapist · Lexington Park, MD
Provider details
- NPI number
- 1689176364
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Juana Granados, Manager, Credentialing(630) 575-1980
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
46400 Lexington Village Way Ste 108
Lexington Park, MD 20653-5570
Phone: (301) 789-7020
Approximate (ZIP-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 of Metro DC
Registry dates
- Enumerated
- 2018-03-08
- Last updated
- 2025-07-22
- Certified
- 2025-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.