Active NPI
Elite Sports PT LLC
- Physical Therapy Clinic/Center
- Fort Lauderdale, FL
National Provider Identifier
1194620211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ELITE SPORTS PT LLC
- Practice address
- 5300 Powerline Rd
Fort Lauderdale, FL 33309-3172 - Phone
- (754) 307-4107
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- 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
- Ryan Johnson, PT, DPT, CSCS
- Title
- Owner
- Phone
- (360) 525-8349
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary |
Addresses
Primary practice location
5300 Powerline Rd
Fort Lauderdale, FL 33309-3172
Mailing address
11821 NW 31St PL
Sunrise, FL 33323-1210
Phone (754) 307-4107
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Miami, FL
- NPI 1497528889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1194620211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11821 NW 31ST PL",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333231210",
"telephone_number": "754-307-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 POWERLINE RD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093172",
"telephone_number": "754-307-4107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE SPORTS PT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-525-8349",
"authorized_official_credential": "PT, DPT, CSCS"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- Elite Fitness and Physical Therapy PLLC
- Elite Health Access, LLC (The Concierge Practice)
- Elite Health Care and Wellness Services
- Elite Home Health Services LLC
- Elite Spine Group, Inc
- Elizabeth M. Andress, P.a.
- Carolina Elizalde Cruz
- Elizabeth Anne Elliott, PA-C
- Larry F. Elliott, DDS, MS
- Christopher Ellis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.