Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Professional Sportscare & Rehab of West Virginia, LLC

Organization Physical Therapist · NPI 1407301518

Professional Sportscare & Rehab of West Virginia, LLC provides Physical Therapist services in Charles Town, West Virginia. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

46 Trifecta Pl Ste 104
Charles Town, WV 25414-5652
Phone: (304) 728-9087
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1407301518
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasheda Broughton — Manager, Credentialing · (252) 248-3313
Other names Pivot Physical Therapy
NPI enumeratedAugust 18, 2016
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

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