Active NPI
Bolt Performance Therapy LLC
- Physical Therapy Clinic/Center
- Miami, FL
National Provider Identifier
1134059280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- BOLT PERFORMANCE THERAPY LLC
- Practice address
- 8100 SW 81St Dr Ste 180
Miami, FL 33143-6603 - Phone
- (305) 420-8265
- NPI assigned
- May 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Dages
- Title
- Owner
- Phone
- (305) 420-8265
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Sports Physical Therapist | 2251S0007X | |||
| Orthopedic Physical Therapist | 2251X0800X | |||
| Physical Therapy Assistant | 225200000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
8100 SW 81St Dr Ste 180
Miami, FL 33143-6603
Mailing address
390 NE 191St St Ste 51322
Miami, FL 33179-3899
Phone (305) 420-8265
National Provider Directory
National Provider DirectoryLocations
8100 SW 81st Dr
Ste 180
Miami, FL 33143
Phone (305) 274-3730
390 NE 191st St
Ste 51322
Miami, FL 33179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779235200000",
"number": "1134059280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 NE 191ST ST STE 51322",
"city": "MIAMI",
"state": "FL",
"postal_code": "331793899",
"telephone_number": "305-420-8265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 SW 81ST DR STE 180",
"city": "MIAMI",
"state": "FL",
"postal_code": "331436603",
"telephone_number": "305-420-8265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOLT PERFORMANCE THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-20",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A",
"authorized_official_last_name": "DAGES",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-420-8265"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"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 May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.