Individual provider Active NPI

Stefan Daniel Valdes, DPT, SCS

  • Sports Physical Therapist
  • Miami Lakes, FL
National Provider Identifier
1184284960
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PT34805 Issued in FL
Practice address
16200 NW 59TH Ave Ste 107
Miami Lakes, FL 33014-7541
Phone
(305) 934-3506
NPI assigned
Jun 14, 2019
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X PT34805 FL Primary

Addresses

Primary practice location

16200 NW 59TH Ave Ste 107
Miami Lakes, FL 33014-7541

Mailing address

8294 Dundee Ter
Miami Lakes, FL 33016-6418
Phone (305) 934-3506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251218001157 FL Practitioner - Physical Therapist in Private Practice 3072848787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
USA Sports Medicine Miami Lakes LLCGroup PAC ID 2466819917, 2 clinicians

Practice addresses (Care Compare)

16200 NW 59TH Ave
Suite 107
Miami Lakes, FL 33014-7541
Phone (305) 735-3513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5682OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
USA Sports Medicine Miami Lakes LLC Physical Therapist CurrentSince Sep 22, 2025 Accepting new patients
Rehab and Recovery Lab CurrentSince Jun 22, 2021 Accepting new patients
Human Performance Center 5 Physical Therapist PastSince Jun 17, 2019 Accepting new patients
Human Performance Center 7 PC Past Accepting new patients

Locations

16200 NW 59th Ave
Ste 107
Miami Lakes, FL 33014
Phone (305) 479-2973

7403 Miami Lakes Dr
Miami Lakes, FL 33014
Phone (305) 934-3506

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1184284960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8294 DUNDEE TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166418",
            "telephone_number": "305-934-3506"
        },
        {
            "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": "305-934-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "STEFAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPT, SCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "PT34805",
            "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 Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.