Avion PT LLC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

AVION PT LLC

Doing business as

Avion Sports Rehab

Practice address

721 N Federal Hwy Ste 4
Fort Lauderdale, FL 33304-3152

Phone

(954) 902-5150

Fax

(754) 900-5044

NPI assigned

Jul 8, 2021

Organization subpart

No

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

Authorized official

Name

Steven Mark Detardo

Title

Member

Phone

(786) 831-8691

Specialties & licenses 2

Addresses

Other names 1

• AVION SPORTS REHAB Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Taylor Berland, DPT

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1962193409
  Medicare reassignment Care Compare group NPD
• Nicole Karen Lescano, DPT

  • Physical Therapist
  • Tamarac, FL
  • NPI 1710653126
  Medicare reassignment Care Compare group NPD
• Andrew R Geil

  • Athletic Trainer
  • Fort Lauderdale, FL
  • NPI 1477124378

  Single Specialty

  NPD

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740873600000",
    "number": "1174194252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N FEDERAL HWY STE 4",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043152",
            "telephone_number": "954-902-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N FEDERAL HWY STE 4",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043152",
            "telephone_number": "954-902-5150",
            "fax_number": "754-900-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVION PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "DETARDO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "786-831-8691"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVION SPORTS REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer M Avila Estrada I
• Alfred Ignacio Avila
• Jemily Avila
• Patria Elena Avila, BA
• Margarita Eloisa Aviles, MSW
• Aviva Medtrans LLC
• Salma Awad
• Axis Home Health Agency, Inc
• Destinee Roxanne Ayala
• Muriel Ayala, LCSW

• Athletic Trainer in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.