Active NPI
Ila Sade Brooks
- Athletic Trainer
- Miami, FL
National Provider Identifier
1073496733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- B620417028270
- Practice address
- 11200 SW 8TH Street Miami Florida 33199
Miami, FL 33199-3076 - Phone
- (305) 348-2000
- NPI assigned
- Jul 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | B620417028270 | FL | Primary |
Addresses
Primary practice location
11200 SW 8TH Street Miami Florida 33199
Miami, FL 33199-3076
Mailing address
795 SW 110TH Ave FL 33174
Miami, FL 33174-1349
Phone (407) 538-3206
Other practice location 1
7516 Marbella Pointe Dr Apt 204
Orlando, FL 32822-3076
Phone (407) 538-3206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B620417028270 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1073496733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 SW 110TH AVE FL 33174",
"city": "MIAMI",
"state": "FL",
"postal_code": "331741349",
"telephone_number": "407-538-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 SW 8TH STREET MIAMI FLORIDA 33199",
"city": "MIAMI",
"state": "FL",
"postal_code": "331993076",
"telephone_number": "305-348-2000"
}
],
"practiceLocations": [
{
"address_1": "7516 Marbella Pointe Dr Apt 204",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328223076",
"country_code": "US",
"telephone_number": "407-538-3206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKS",
"first_name": "ILA",
"middle_name": "SADE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-30",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "B620417028270",
"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 Jul 30, 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.