Organization Active NPI

Athletix Rehab and Recovery, LLC

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1063879427
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27956 Issued in FL
Legal business name
ATHLETIX REHAB AND RECOVERY, LLC
Practice address
60 SW 13TH St
Unit 4005
Miami, FL 33130-4328
Phone
(203) 550-0799
NPI assigned
Jan 15, 2016
Last updated
Mar 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Dr. Sharif Tabbah, DPTNPI 1124362090
Title
Owner/Physical Therapist
Phone
(203) 550-0799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29301 FL
Physical Therapist 225100000X 27956 FL Primary

Addresses

Primary practice location

60 SW 13TH St
Unit 4005
Miami, FL 33130-4328

Mailing address

60 SW 13TH St
Unit 4005
Miami, FL 33130-4328
Phone (203) 550-0799

National Provider Directory

National Provider Directory
Tax ID family
Athletix Rehab and Recovery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1063879427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SW 13TH ST",
            "address_2": "UNIT 4005",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331304328",
            "telephone_number": "203-550-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SW 13TH ST",
            "address_2": "UNIT 4005",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331304328",
            "telephone_number": "203-550-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIX REHAB AND RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "TABBAH",
        "authorized_official_first_name": "SHARIF",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "203-550-0799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "29301",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "27956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.