PHYSICAL & SPORTS THERAPY CENTER, INC (NPI# 1730397076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730397076 |
| Entity Type | Organization |
| Organization Name | PHYSICAL & SPORTS THERAPY CENTER, INC |
| Other Organization Name | PHYSICAL & SPORTS THERAPY CENTER |
| Practice Address |
7480 Fairway Dr Suite 204 Miami Lakes FL 33014-6879 |
| Practice Telephone | 3058249292 |
| Practice Fax Number | 3058240033 |
| Mailing Telephone | 3058249292 |
| Mailing Fax Number | 3058240033 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2011-02-02 |
| Authorized Official Name | MRS. NIKE ADAMEDES (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3058249292 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
PT2508 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUECROSS BLUESHIELD | Y915N | 01 |
| Other Name | Type Code |
|---|---|
| Physical & Sports Therapy Center | Other Name - Individual/Organization |
| Street Address |
7480 FAIRWAY DR SUITE 204 |
| City | MIAMI LAKES |
| State | FL |
| Zip Code | 33014-6879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750350765 | Robert Novo | Pediatrics | 7480 Fairway Dr, Suite 208, Miami Lakes, FL 33014-6879 | 2006-03-14 |
| 1164067120 | University Health Care Miami Lakes, Inc. | Clinic/Center | 7480 Fairway Dr, Miami Lakes, FL 33014-6879 | 2019-11-14 |
| 1922643154 | Orchid Medical Group, LLC | Clinic/Center | 7480 Fairway Dr, Miami Lakes, FL 33014-6879 | 2019-11-12 |
| 1801273693 | Gregory Reed, M.d. | Internal Medicine | 7480 Fairway Dr, Suite 102, Miami Lakes, FL 33014-6879 | 2015-04-30 |
| 1811388473 | Ruth C Schobel Md Pa | Pediatrics | 7480 Fairway Dr, Suite 202, Miami Lakes, FL 33014-6879 | 2015-02-17 |
| 1912348582 | Integrative Bioregulatory Medicine, LLC | Acupuncturist | 7480 Fairway Dr, Suite 108, Miami Lakes, FL 33014-6879 | 2013-07-11 |
| 1972885481 | Francisco J Mora Md Pa | Family Medicine | 7480 Fairway Dr, 108, Miami Lakes, FL 33014-6879 | 2011-09-12 |
| 1477844694 | Jose Ramon Pajon | Mechanotherapist | 7480 Fairway Dr, Suit # 209, Miami Lakes, FL 33014-6879 | 2011-04-21 |
| 1548412430 | Emc Medical Center Inc | Clinic/Center | 7480 Fairway Dr, Suite 209, Miami Lakes, FL 33014-6879 | 2008-10-22 |
| 1063670636 | Comprehensive Eye Care of South Florida Inc | Optometrist | 7480 Fairway Dr, Suite 105, Miami Lakes, FL 33014-6879 | 2008-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083830 | Mj Pharmacy & Discount LLC | Pharmacy | 1545 West 62nd Street, Suite 62, Hialeah, FL 33014 | 2020-04-28 |
| 1699301333 | Alexander Tamayo Ochoa | Nurse Practitioner | 5400 Nw 159 St Apt 123, Hialeah, FL 33014 | 2020-03-13 |
| 1609336114 | Edward Alexander Pardo | Counselor | 6225 Miami Lakes Drive, Hialeah, FL 33014 | 2019-03-21 |
| 1780158394 | Remedys Nutrition Cv | Pharmacy | 7331 Miami Lakes Dr, Miami Lakes, FL 33014 | 2019-01-16 |
| 1962993642 | Yuleika Rodriguez Gonzalez | Behavior Technician | 6961 W 14th Ct Apt 203, Hialeah, FL 33014 | 2018-05-29 |
| 1730676719 | Bright Steps Therapy Services LLC | Physical Therapy Assistant | 1900 W 68th St Apt E306, Hialeah, FL 33014 | 2018-04-16 |
| 1093211443 | One Soul Cmh Inc | Case Management | 5803 Nw 151st St Ste 202, Miami Lakes, FL 33014 | 2018-04-04 |
| 1528560331 | Yuramis Perez Salvador | Behavior Technician | 8365 W 18 Lane Dr, Hialeah, FL 33014 | 2018-03-07 |
| 1396253613 | Miami Lakes Behavioral Services Corp | Behavioral Analyst | 6001 Nw 153rd Street, Suite 157, Miami Lakes, FL 33014 | 2018-01-22 |
| 1447768452 | Ballast Medical Management, LLC. | Exclusive Provider Organization | 6001 Nw 153rd St Ste 100, Miami Lakes, FL 33014 | 2018-01-12 |
| Find all providers in zip 33014 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033754775 | Guerrero Medical Rehab Center Inc. | Clinic/Center | 14100 Palmetto Frntg Rd Ste 105, Miami Lakes, FL 33016-1568 | 2019-11-15 |
| 1538301247 | Velizar Services Inc | Clinic/Center | 13903 Nw 67th Ave Ste 420, Miami Lakes, FL 33014-2939 | 2009-03-26 |
| 1144238528 | Select Physical Therapy Holdings Inc | Clinic/Center | 15150 Bull Run Rd, Miami Lakes, FL 33014-2167 | 2006-08-03 |
| 1194754747 | Cora Health Services Inc | Clinic/Center | 14900 Nw 79th Ct Ste 101, Miami Lakes, FL 33016-5869 | 2006-07-03 |
| 1881641363 | Physical Therapy Group Services Inc | Clinic/Center | 8181 Nw 154th St, Suite 290, Miami Lakes, FL 33016-5881 | 2006-05-28 |
| 1912993130 | Allied Therapy Services Inc | Clinic/Center | 6447 Miami Lakes Dr E, Ste 220, Miami Lakes, FL 33014-2741 | 2005-09-22 |
| 1790343903 | Michael C White Dc Pa | Clinic/Center | 14645 Nw 77th Ave Ste 107, Miami Lakes, FL 33014-2569 | 2019-06-03 |
| 1851827810 | Systems & Structure Rehab Center Inc | Clinic/Center | 4715 Nw 157th St Ste 111-119, Miami Lakes, FL 33014-6435 | 2017-05-11 |
| 1467733204 | Elite Therapy & Rehabilitation Center, Inc. | Clinic/Center | 6001 Nw 153rd St, Suite 178, Miami Lakes, FL 33014-2419 | 2011-09-07 |
| 1912206772 | Premier Rehabilitation Group, LLC | Clinic/Center | 7980 Nw 155th St, Ste A, Miami Lakes, FL 33016-5884 | 2011-03-19 |
| Find all providers in MIAMI LAKES | ||||
| City | MIAMI LAKES |
| Zip Code | 33014 |
Please comment or provide details below to improve the information on PHYSICAL & SPORTS THERAPY CENTER, INC.
| 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.