Organization Active NPI

USA Sports Medicine Miami Lakes LLC

  • Physical Therapist
  • Miami Lakes, FL
National Provider Identifier
1174262224
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Nov 20, 2025

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20230530000001 FL Part B Supplier - Clinic/Group Practice 2466819917 Receives reassigned benefits from 3 practitioners
Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.