Organization Active NPI

Xpe Sports Medicine

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1174204895
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
XPE SPORTS MEDICINE
Practice address
100 NW 6TH St Apt 1903
Miami, FL 33136-4134
Phone
(347) 672-4630
NPI assigned
Jul 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Nicholas Delisi, PT, DPT
Title
Co-Owner/Physical Therapist
Phone
(347) 672-4630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

100 NW 6TH St Apt 1903
Miami, FL 33136-4134

Mailing address

100 NW 6TH St Apt 1903
Miami, FL 33136-4134
Phone (347) 672-4630

Other identifiers 1

IdentifierTypeStateIssuer
1902448400OtherFLPHYSICAL THERAPIST

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1174204895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 6TH ST APT 1903",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331364134",
            "telephone_number": "347-672-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 6TH ST APT 1903",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331364134",
            "telephone_number": "347-672-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XPE SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "DELISI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CO-OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-672-4630",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "1902448400",
            "state": "FL"
        }
    ],
    "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 26, 2023; 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.