SPORTMEDICA, LLC
NPI 1124499751
Rehabilitation Hospital in Shreveport, LA
About Sportmedica, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPORTMEDICA, LLC (NPI 1124499751) is a healthcare organization registered as a rehabilitation hospital in Shreveport, Louisiana and active in the NPI registry since October 2015. The organization lists William Overdyke, Medical Physician/ Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sportmedica, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sportmedica, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sportmedica, LLC's NPI number?
The NPI number for Sportmedica, LLC is 1124499751. It was assigned to this organization in the NPPES registry on October 8, 2015.
Where is Sportmedica, LLC located?
Sportmedica, LLC is located at 2934 Chardonnay Cir, Shreveport, LA 71106. The listed phone number is (318) 458-8490.
What is Sportmedica, LLC's specialty?
The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.
Is Sportmedica, LLC enrolled in Medicare?
Yes. Sportmedica, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sportmedica, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Sportmedica, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Sportmedica, LLC accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Sportmedica, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sportmedica, LLC was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sportmedica, Llc · NPI 1124499751
Rehabilitation Hospital organization in Shreveport, Louisiana. Organization record, active in the CMS NPPES registry since October 8, 2015.
## Identity
- **NPI:** 1124499751 (Entity type: Organization)
- **Enumerated:** October 8, 2015
- **Primary specialty:** Rehabilitation Hospital · taxonomy 283X00000X
- **Organization subpart:** No
- **Authorized official:** William Overdyke, MEDICAL PHYSICIAN/ OWNER
## Practice location
- **Address:** 2934 CHARDONNAY CIR, Shreveport, LA 71106-8418
- **Phone:** (318) 458-8490
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Medicine and Rehabilitation) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1124499751) · Data from the CMS NPPES public registry.