Organization Active NPI

Sport Therapy Services Corp.

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1194032722
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
ME31311 Issued in FL
Legal business name
SPORT THERAPY SERVICES CORP.
Practice address
7171 SW 24TH St Ste 517
Miami, FL 33155-1694
Phone
(305) 266-5559
Fax
(305) 266-5519
NPI assigned
Sep 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Mr. Francisco David De la Cruz, LMT
Title
President
Phone
(305) 266-5559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X ME31311 FL Primary

Addresses

Primary practice location

7171 SW 24TH St Ste 517
Miami, FL 33155-1694

Mailing address

7171 SW 24TH St Ste 517
Miami, FL 33155-1694
Phone (305) 266-5559

National Provider Directory

National Provider Directory

Locations

7171 SW 24th St
Ste 517
Miami, FL 33155
Phone (305) 266-5559

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1194032722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 SW 24TH ST STE 517",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551694",
            "telephone_number": "305-266-5559",
            "fax_number": "305-266-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 SW 24TH ST STE 517",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551694",
            "telephone_number": "305-266-5559",
            "fax_number": "305-266-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT THERAPY SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-266-5559",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "ME31311",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 2, 2010; 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.