PROFESSIONAL SPORTSCARE & REHAB, LLC (NPI# 1619479383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619479383 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL SPORTSCARE & REHAB, LLC |
| Other Organization Name | PIVOT PHYSICAL THERAPY OF METRO DC |
| Practice Address |
25370 Eastern Marketplace Plz Chantilly VA 20152-1426 |
| Mailing Address |
350 New Fidelity Ct Garner NC 27529-2665 |
| Practice Telephone | 5713481201 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Authorized Official Name | HARRIS THOMPSON (CEO) |
| Authorized Official Telephone | 4109278768 |
| 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 of Metro DC | 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 |
| 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 |
| 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 |
25370 EASTERN MARKETPLACE PLZ |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20152-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669751 | Joy Chirnside Mclaughlin | Physical Therapist | 26097 Iverson Drive, Chantilly, VA 20152 | 2020-11-04 |
| 1972132090 | Alissa S Rexo | Specialist | 25251 Beach Place, Chantilly, VA 20152 | 2020-04-02 |
| 1982178620 | South Riding Modern Dentistry, PC | Dentist | 25421 Lizzio Center Dr., Suite 190, Chantilly, VA 20152 | 2019-01-16 |
| 1154897627 | Nicole Hong | Dentist | 25273 Nesting Sq, Chantilly, VA 20152 | 2018-10-22 |
| 1437586369 | Chiron Physical Therapy LLC | Physical Therapist | 48130 Amberwood Plaza, Suite 100, South Riding, VA 20152 | 2013-10-10 |
| 1376772178 | Gloria Seon-young Kim | Dentist | 24805 Pinebrook Rd # 311, Chantilly, VA 20152 | 2009-07-14 |
| 1992955777 | Sohaib S. Elsayed | Family Medicine | 25055 Riding Plz Ste 220, South Riding, VA 20152 | 2008-09-29 |
| 1538328067 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 24795 Pinebrook Rd, South Riding, VA 20152 | 2008-06-09 |
| 1790970556 | Irfan Galaria | Plastic Surgery | 24805 Pinebrook Road, Suite #154, Chantilly, VA 20152 | 2007-09-13 |
| 1316150881 | Dina Gottesman | Pediatrics | 25055 Riding Plaza, Suite 150, South Riding, VA 20152 | 2007-05-08 |
| Find all providers in zip 20152 | ||||
| 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 |
|---|---|---|---|---|
| 1528669751 | Joy Chirnside Mclaughlin | Physical Therapist | 26097 Iverson Drive, Chantilly, VA 20152 | 2020-11-04 |
| 1285240184 | Desai Physical Therapy, Pllc | Physical Therapist | 14175 Sullyfield Cir Ste 100, Chantilly, VA 20151-1686 | 2020-09-17 |
| 1508406703 | Mohammad Alansari | Physical Therapist | 4630 Stonecroft Blvd, Chantilly, VA 20151-1745 | 2020-01-15 |
| 1942859491 | Ariana Pajazetovic | Physical Therapist | 24801 Pinebrook Rd Ste 215, Chantilly, VA 20152-4112 | 2019-09-07 |
| 1548740350 | Brandon Wenger | Physical Therapist | 4229 Lafayette Center Dr Ste 1250, Chantilly, VA 20151-1266 | 2018-08-21 |
| 1538689930 | Kevin Faust | Physical Therapist | 25370 Eastern Marketplace Plz Ste 120, Chantilly, VA 20152-5778 | 2017-06-27 |
| 1427432707 | Claire Minjung Kim | Physical Therapist | 14153 Robert Paris Ct, Suite A, Chantilly, VA 20151-4224 | 2015-07-16 |
| 1962810010 | Amanda Beaufort | Physical Therapist | 25502 Amber Gate Ter, Chantilly, VA 20152-5792 | 2014-07-31 |
| 1407284714 | Brian Woogi Kim | Physical Therapist | 14153 Robert Paris Ct Ste A, Chantilly, VA 20151-4225 | 2013-10-23 |
| 1477858207 | Hunter Lewis Peacock | Physical Therapist | 14434 Albemarle Point Pl, Suite 100, Chantilly, VA 20151-1764 | 2011-01-26 |
| Find all providers in CHANTILLY | ||||
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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.