PROFESSIONAL SPORTSCARE & REHAB, LLC (NPI# 1487104345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487104345 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL SPORTSCARE & REHAB, LLC |
| Other Organization Name | PIVOT PHYSICAL THERAPY |
| Practice Address |
11662 Sudley Manor Dr Ste 50 B Manassas VA 20109-2842 |
| Mailing Address |
501 Fairmount Ave Ste 302 Towson MD 21286-5457 |
| Practice Telephone | 5713215720 |
| 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 |
| 1194275057 | Professional Sportscare & Rehab, LLC | Physical Therapist | 21453 Epicerie Plz, Ste 100, Sterling, VA 20164-6647 | 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 |
11662 SUDLEY MANOR DR STE 50 B |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| 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 |
|---|---|---|---|---|
| 1790317055 | Pt Solutions LLC | Physical Therapist | 9161 Liberia Ave Ste 205, Manassas, VA 20110-1723 | 2020-02-05 |
| 1508407586 | Michael Timothy Rios | Physical Therapist | 11662 Sudley Manor Dr # 50b, Manassas, VA 20109-2842 | 2019-10-01 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1700300811 | Kathryn Hayes | Physical Therapist | 8140 Ashton Ave Ste 104, Manassas, VA 20109-5699 | 2017-07-31 |
| 1790239994 | Kathryn Parker | Physical Therapist | 9685 Liberia Ave Ste 106, Manassas, VA 20110-1740 | 2016-08-05 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1083033732 | Gemmalyn Mamaril | Physical Therapist | 9411 Elm Ct, Apt. 633, Manassas, VA 20111-8299 | 2014-04-09 |
| 1629368600 | Back 2 Health Physical Therapy | Physical Therapist | 10515 Crestwood Dr Ste 101, Manassas, VA 20109-4423 | 2011-04-12 |
| 1821316803 | Whitney A Soliz | Physical Therapist | 8609 Sudley Rd Ste 102, Manassas, VA 20110-4500 | 2010-05-14 |
| 1831398619 | Dawn M Ingram | Physical Therapist | 8525 Rolling Rd Ste 300, Manassas, VA 20110 | 2007-07-12 |
| Find all providers in MANASSAS | ||||
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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.