The Premier Athlete

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THE PREMIER ATHLETE

Doing business as

Elite Performance Rehab LLC

Practice address

240 NW 25TH St Apt 604
Miami, FL 33127-4352

Phone

(303) 993-9884

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Evan Motlong, DR.NPI 1598499451

Title

Owner

Phone

(303) 993-9884

Specialties & licenses 1

Addresses

Other names 1

• Elite Performance Rehab LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evan Motlong

  • Orthopedic Physical Therapist
  • Miami, FL
  • NPI 1598499451
  NPD Authorized official

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1235966045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 NW 25TH ST APT 604",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274352",
            "telephone_number": "303-993-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 NW 25TH ST APT 604",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274352",
            "telephone_number": "303-993-9884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 NW 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361116",
            "country_code": "US",
            "telephone_number": "786-703-2601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE PREMIER ATHLETE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "MOTLONG",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-993-9884",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Performance Rehab LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Performance Rehab LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.