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 1548404577

Professional Sportscare & Rehab of West Virginia, LLC provides Physical Therapist services in Shepherdstown, West Virginia. Licensed in West Virginia. Registered with an NPI since 2009.

Licensed in
WV
In the registry since
2009
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

207 S Princess St Ste 3AND4
Shepherdstown, WV 25443-1581
Phone: (304) 876-8600
Fax: (304) 876-8601
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 002689 (WV)

Record details

NPI number1548404577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasheda Broughton — Manager, Credentialing · (252) 248-3313
NPI enumeratedApril 21, 2009
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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