Individual provider Active NPI

Ila Sade Brooks

  • Athletic Trainer
  • Miami, FL
National Provider Identifier
1073496733
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
B620417028270 Issued in FL
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

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
B620417028270FLMDAthletic 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.

Verify at the official NPI Registry.