Active NPI
Relight Physical Therapy and Performance
- Orthopedic Physical Therapist
- Davie, FL
National Provider Identifier
1245041862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- RELIGHT PHYSICAL THERAPY AND PERFORMANCE
- Practice address
- 14575 SW 26TH St
Davie, FL 33325-4942 - Phone
- (518) 892-8576
- NPI assigned
- Jan 14, 2025
- 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
- Dr. Robert Koester, PT, DPT
- Title
- Physical Therapist
- Phone
- (518) 892-8576
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
14575 SW 26TH St
Davie, FL 33325-4942
Mailing address
14575 SW 26TH St
Davie, FL 33325-4942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1736812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1245041862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14575 SW 26TH ST",
"city": "DAVIE",
"state": "FL",
"postal_code": "333254942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14575 SW 26TH ST",
"city": "DAVIE",
"state": "FL",
"postal_code": "333254942",
"telephone_number": "518-892-8576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIGHT PHYSICAL THERAPY AND PERFORMANCE",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-14",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "KOESTER",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "518-892-8576",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.