PROFESSIONAL SPORTSCARE & REHAB, LLC (NPI# 1194275057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194275057 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL SPORTSCARE & REHAB, LLC |
| Other Organization Name | PIVOT PHYSICAL THERAPY |
| Practice Address |
21453 Epicerie Plz Ste 100 Sterling VA 20164-6647 |
| Mailing Address |
501 Fairmount Ave Ste 302 Towson MD 21286-5457 |
| Practice Telephone | 7036628151 |
| Mailing Telephone | 4109278768 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |
| Authorized Official Name | STEVE BERGER (CFO) |
| Authorized Official Telephone | 4108856371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| PIVOT PHYSICAL THERAPY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877220 | Professional Sportscare & Rehab, LLC | Physical Therapist | 1801 Ritchie Station Ct # 200, Capitol Heights, MD 20743-5075 | 2020-06-29 |
| 1356966014 | Professional Sportscare & Rehab, LLC | Physical Therapist | 4511 Knox Rd Ste 102, College Park, MD 20740-3380 | 2020-06-09 |
| 1245732924 | Professional Sportscare & Rehab, LLC | Physical Therapist | 3508 Connecticut Ave Nw, Washington, DC 20008-2401 | 2018-03-08 |
| 1609378371 | Professional Sportscare & Rehab, LLC | Physical Therapist | 2650 S Pleasant Valley Rd, Winchester, VA 22601-6518 | 2018-03-08 |
| 1619479383 | Professional Sportscare & Rehab, LLC | Physical Therapist | 25370 Eastern Marketplace Plz, Chantilly, VA 20152-1426 | 2018-03-08 |
| 1518492511 | Professional Sportscare & Rehab, LLC | Physical Therapist | 6325 Multiplex Dr, Unit 2, Centreville, VA 20121-5327 | 2017-04-27 |
| 1407397896 | Professional Sportscare & Rehab, LLC | Physical Therapist | 2875 Crain Hwy, Ste 6, Waldorf, MD 20601-2807 | 2017-03-17 |
| 1487104345 | Professional Sportscare & Rehab, LLC | Physical Therapist | 11662 Sudley Manor Dr, Ste 50 B, Manassas, VA 20109-2842 | 2016-10-04 |
| 1861941395 | Professional Sportscare & Rehab, LLC | Physical Therapist | 10940 Fairfax Blvd, Ste D1, Fairfax, VA 22030-4301 | 2016-09-26 |
| 1639624745 | Professional Sportscare & Rehab, LLC | Physical Therapist | 7223 Commerce St, Ste 40, Springfield, VA 22150-3411 | 2016-08-18 |
| Street Address |
21453 EPICERIE PLZ STE 100 |
| City | STERLING |
| State | VA |
| Zip Code | 20164-6647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255962239 | Ying Jiu Liu | Acupuncturist | 45665 W Church Rd #110 Stering, Stering, VA 20164 | 2020-01-29 |
| 1417599986 | Nab Homecare, Inc. | In Home Supportive Care | 45640 Willow Pond Plaza, Suite 100, Sterling, VA 20164 | 2019-10-16 |
| 1962905323 | Grace A Oluwadiya | Registered Nurse | 21335 Signal Hill Plaza, Suite 270, Sterling, VA 20164 | 2018-03-13 |
| 1922468602 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21399 Epicerie Plaza, Sterling, VA 20164 | 2016-02-24 |
| 1942625603 | Totalmobility LLC | Durable Medical Equipment & Medical Supplies | 201 Davis Drive, Suite Nn, Sterling, VA 20164 | 2014-03-04 |
| 1346689189 | Traci Collier | Pharmacist | 22375 Davis Dr, Sterling, VA 20164 | 2013-06-14 |
| 1770842536 | Costco Pharmacy 218 | Clinic/Center | 21398 Price Cascades Plaza, Sterling, VA 20164 | 2012-05-14 |
| 1922371426 | Totalmobility, LLC | Durable Medical Equipment & Medical Supplies | 111k Carpenter Drive, Sterling, VA 20164 | 2012-02-14 |
| 1750676789 | Sheikh M Rasul | Pharmacist | 20600 Great Falls Plaza, Sterling, VA 20164 | 2011-06-17 |
| 1932260114 | Veena Railan | Family Medicine | 101 E.holly Avenue, Unit 9, Sterling, VA 20164 | 2006-12-12 |
| Find all providers in zip 20164 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801365804 | Jason Makoutz | Physical Therapist | 21251 Ridgetop Cir Ste 140, Sterling, VA 20166-6645 | 2018-11-19 |
| 1750868253 | Marlene Mireles | Physical Therapist | 46440 Benedict Dr Ste 108, Sterling, VA 20164-6602 | 2018-07-26 |
| 1033627898 | Anshul Misra | Physical Therapist | 20 Pidgeon Hill Dr Ste 103, Sterling, VA 20165-6134 | 2018-01-15 |
| 1134659766 | Eric Graves | Physical Therapist | 21453 Epicerie Plz Ste 100, Sterling, VA 20164-6648 | 2017-06-15 |
| 1306375282 | Susmita Koppella | Physical Therapist | 21475 Ridgetop Cir Ste 260, Sterling, VA 20166-8580 | 2017-06-05 |
| 1588038590 | Mancy Modi | Physical Therapist | 45305 Catalina Court, Suite 103, Sterling, VA 20166 | 2015-11-16 |
| 1750759403 | Mednet Colorado, LLC | Physical Therapist | 126 N 2nd St, Sterling, CO 80751-4332 | 2015-09-11 |
| 1932576105 | Patrick Mccallum | Physical Therapist | 7 Cynthia Ln, Sterling, MA 01564-2347 | 2015-08-24 |
| 1184030314 | Anahita Vaziritabar-manii | Physical Therapist | 46909 Antler Ct, Sterling, VA 20164-8624 | 2014-07-09 |
| 1184049637 | Nancy Lynch | Physical Therapist | 21620 Ridgetop Cir, Suite 180, Sterling, VA 20166-6565 | 2014-02-20 |
| Find all providers in STERLING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.