Active NPI
USA Sports Medicine Miami Lakes LLC
- Physical Therapist
- Miami Lakes, FL
National Provider Identifier
1174262224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- USA SPORTS MEDICINE MIAMI LAKES LLC
- Practice address
- 16200 NW 59TH Ave Ste 107
Miami Lakes, FL 33014-7541 - Phone
- (305) 479-2973
- NPI assigned
- May 27, 2022
- 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
- Jessica Tuzik
- Title
- Credentialing Manager
- Phone
- (941) 412-3800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
16200 NW 59TH Ave Ste 107
Miami Lakes, FL 33014-7541
Mailing address
404 Washington Ave Ste 120
Miami Beach, FL 33139-6651
Phone (305) 479-2973
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16200 NW 57th Ave
Ste 107
Miami Lakes, FL 33014
16200 NW 59th Ave
Ste 107
Miami Lakes, FL 33014
Phone (305) 479-2973
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Miami Lakes, FL
- NPI 1255986519
-
- Sports Physical Therapist
- Miami Lakes, FL
- NPI 1184284960
-
- Physical Therapist
- Miami Lakes, FL
- NPI 1417753492
-
- Physical Therapist
- Miami Beach, FL
- NPI 1952628414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763596800000",
"number": "1174262224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 WASHINGTON AVE STE 120",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331396651",
"telephone_number": "305-479-2973",
"fax_number": "305-735-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16200 NW 59TH AVE STE 107",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330147541",
"telephone_number": "305-479-2973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USA SPORTS MEDICINE MIAMI LAKES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-27",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A",
"authorized_official_last_name": "TUZIK",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "941-412-3800"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.