Organization Active NPI

Bryce Physio and Sport Performance LLC

  • Physical Therapy Clinic/Center
  • North Miami, FL
National Provider Identifier
1013770007
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BRYCE PHYSIO AND SPORT PERFORMANCE LLC
Practice address
1662 NE 123Rd St
North Miami, FL 33181-2701
Phone
(717) 753-0364
NPI assigned
Feb 1, 2024
Last updated
May 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yevgney Onefator
Title
Owner
Phone
(718) 753-0364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1662 NE 123Rd St
North Miami, FL 33181-2701

Mailing address

1662 NE 123Rd St
North Miami, FL 33181-2701

National Provider Directory

National Provider Directory

Locations

1662 NE 123rd St
North Miami, FL 33181
Phone (717) 753-0364

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1013770007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 NE 123RD ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 NE 123RD ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812701",
            "telephone_number": "717-753-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYCE PHYSIO AND SPORT PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "ONEFATOR",
        "authorized_official_first_name": "YEVGNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-753-0364"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.