Athletix Rehab and Recovery Deerfield, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ATHLETIX REHAB AND RECOVERY DEERFIELD, LLC

Practice address

1401 Green Rd
Suite D/E/F
Deerfield Beach, FL 33064

Phone

(570) 574-7517

NPI assigned

Jan 6, 2021

Organization subpart

No

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

Authorized official

Name

Kyle Krupa, DPT

Title

Owner

Phone

(570) 574-7517

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1114515046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6941 SW 63RD CT",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433344",
            "telephone_number": "570-574-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GREEN RD",
            "address_2": "SUITE D/E/F",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "570-574-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIX REHAB AND RECOVERY DEERFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "KRUPA",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-574-7517",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "k.krupa@athletixrehab.com",
            "affiliation": "N",
            "address_1": "1401 Green Rd",
            "address_2": "Suite D/E/F",
            "city": "Deerfield Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Athletix Rehab and Recovery, LLC
• Erica Celeste (Preferred) Atkins
• Alliyah Atkinson
• Gabrielle Atkinson
• Suneetha Atluri, DMD

• Physical Therapist in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.