PROFESSIONAL SPORTSCARE & REHAB OF WEST VIRGINIA, LLC
NPI 1548404577
Physical Therapist in Shepherdstown, WV

Active since April 21, 2009
207 S PRINCESS ST STE 3AND4, SHEPHERDSTOWN, WV 25443(304) 876-8600(304) 876-8601 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 23, 2020, Jan 22, 2019 (2 updates tracked since 2019).

About Professional Sportscare & Rehab Of West Virginia, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL SPORTSCARE & REHAB OF WEST VIRGINIA, LLC (NPI 1548404577) is a healthcare organization registered as a physical therapist in Shepherdstown, West Virginia and active in the NPI registry since April 2009. The organization lists Tasheda Broughton, Manager, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1548404577
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePROFESSIONAL SPORTSCARE & REHAB OF WEST VIRGINIA, LLC
Location Address207 S PRINCESS ST STE 3AND4Shepherdstown, WV 25443-1581
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (252) 248-3133
Fax(304) 876-8601
Organization SubpartNo
Authorized OfficialTasheda BroughtonManager, Credentialing · (252) 248-3313
Enumeration DateApril 21, 2009
Last NPPES UpdateNovember 1, 20242 updates tracked since enumeration
NPPES CertifiedNovember 1, 2024
✔ NPI 1548404577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in WV · PT 002689
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
207 S PRINCESS ST STE 3AND4, Shepherdstown, WV 25443

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Professional Sportscare & Rehab Of West Virginia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Professional Sportscare & Rehab Of West Virginia, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians, nearest first (18)

Physical Therapist in Private Practice
NPI 1972911071
207 S PRINCESS ST STE 3
Shepherdstown, WV 25443
(304) 876-8600
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1679128169
34 W VIRGINIA WAY
Ranson, WV 25438
(304) 728-9090
✔ Accepts Medicare8.1 mi
Physical Therapist in Private Practice
NPI 1952899148
34 W VIRGINIA WAY STE 1
Ranson, WV 25438
(304) 728-9090
✔ Accepts Medicare8.1 mi
Physical Therapist in Private Practice
NPI 1295081958
34 W VIRGINIA WAY STE 1
Ranson, WV 25438
(304) 728-9090
✔ Accepts Medicare8.1 mi
Physical Therapist in Private Practice
NPI 1902652456
34 W VIRGINIA WAY STE 1
Ranson, WV 25438
(304) 728-9090
✔ Accepts Medicare8.1 mi
Physical Therapist in Private Practice
NPI 1619794864
34 W VIRGINIA WAY STE 1
Ranson, WV 25438
(304) 728-9090
✔ Accepts Medicare8.1 mi
Physical Therapist in Private Practice
NPI 1922409275
34 W VIRGINIA WAY STE 1
Ranson, WV 25438
(304) 728-9090
✔ Accepts Medicare8.1 mi
Physical Therapist in Private Practice
NPI 1467191353
34 W VIRGINIA WAY STE 1
Ranson, WV 25438
(304) 728-9090
✔ Accepts Medicare8.1 mi
Physical Therapist in Private Practice
NPI 1396401790
5078 WILLIAMSPORT PIKE STE I
Martinsburg, WV 25404
(304) 271-8895
✔ Accepts Medicare9.2 mi
Physical Therapist in Private Practice
NPI 1275262438
5078 WILLIAMSPORT PIKE STE 1
Martinsburg, WV 25404
(304) 271-8895
✔ Accepts Medicare9.2 mi
Physical Therapist in Private Practice
NPI 1134953078
80 RETAIL COMMONS PKWY STE 3
Martinsburg, WV 25403
(681) 252-9250
✔ Accepts Medicare10 mi
Physical Therapist in Private Practice
NPI 1619868239
80 RETAIL PKWY UNIT 3
Martinsburg, WV 25403
(681) 252-9250
✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1588359624
17301 VALLEY MALL RD
Hagerstown, MD 21740
(240) 850-2002
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1427323294
4337 EBENEZER RD
Nottingham, MD 21236
(410) 529-3303
✔ Accepts Medicare71 mi
Physical Therapist in Private Practice
NPI 1144259557
10475 PERRY HWY STE 106G
Wexford, PA 15090
(877) 407-3422
✔ Accepts Medicare144 mi
Physical Therapist in Private Practice
NPI 1508633082
25 WEST ST
Tunkhannock, PA 18657
(570) 996-6200
✔ Accepts Medicare175 mi
Physical Therapist in Private Practice
NPI 1437539046
690 S COOPER RD STE 101
Gilbert, AZ 85233
(480) 503-2100
✔ Accepts Medicare1,929 mi
Physical Therapist in Private Practice
NPI 1558041889
11019 CANYON RD E STE C
Puyallup, WA 98373
(253) 286-3600
✔ Accepts Medicare2,276 mi

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 Professional Sportscare & Rehab Of West Virginia, LLC's NPI number?

The NPI number for Professional Sportscare & Rehab Of West Virginia, LLC is 1548404577. It was assigned to this organization in the NPPES registry on April 21, 2009.

Where is Professional Sportscare & Rehab Of West Virginia, LLC located?

Professional Sportscare & Rehab Of West Virginia, LLC is located at 207 S Princess St Ste 3and4, Shepherdstown, WV 25443. The listed phone number is (304) 876-8600.

What is Professional Sportscare & Rehab Of West Virginia, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Professional Sportscare & Rehab Of West Virginia, LLC enrolled in Medicare?

Yes. Professional Sportscare & Rehab Of West Virginia, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Professional Sportscare & Rehab Of West Virginia, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Professional Sportscare & Rehab Of West Virginia, 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. Of these, 1 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Professional Sportscare & Rehab Of West Virginia, LLC accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Professional Sportscare & Rehab Of West Virginia, 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 Professional Sportscare & Rehab Of West Virginia, LLC was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.