Therapy Sport Medical Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

HCC9145 Issued in FL

Legal business name

THERAPY SPORT MEDICAL CORP

Practice address

6555 NW 36TH St
Suite 214
Virginia Gardens, FL 33166-6978

Phone

(305) 526-8229

Fax

(305) 526-8230

NPI assigned

Oct 5, 2011

Organization subpart

No

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

Authorized official

Name

Hisela M Castro

Title

President

Phone

(305) 526-8229

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge Paoli-Bruno, M.D.

  • Family Medicine Physician
  • Medley, FL
  • NPI 1982601159
  NPD

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1023392297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 NW 36TH ST",
            "address_2": "SUITE 214",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666978",
            "telephone_number": "305-526-8229",
            "fax_number": "305-526-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 NW 36TH ST",
            "address_2": "SUITE 214",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666978",
            "telephone_number": "305-526-8229",
            "fax_number": "305-526-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SPORT MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "HISELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-526-8229"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC9145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernesto Tendero, THERAPIST
• Teraphy & Wellness Corp
• Therapeutic Alliance Community Mental Health Center Inc
• Therapy Associates of South Florida, Inc.
• Therapy Health Care LLC
• Thomas P. Haban, D.C., P.a.
• Grisel Torres
• Oliene Toussaint, LCSW
• Yanisleidys Trabado, RBT
• Katherine Ann Trofibio, MA,CCC - SLP

• General Practice Physician in Virginia Gardens, FL
• Providers in Virginia Gardens, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.