Infinity Sports Institute LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INFINITY SPORTS INSTITUTE LLC

Doing business as

Physical Therapy Now Edgewater

Practice address

161 NE 24TH St
Miami, FL 33137-5800

Phone

(305) 570-1666

Fax

(305) 203-0546

NPI assigned

Sep 19, 2018

Last updated

Sep 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Hector Maradiaga

Title

Manager

Phone

(786) 514-3185

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Physical Therapy Now Edgewater Doing business as

Locations

Practitioners 2

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.

• Madison Carmela Shaw, RD

  • Registered Dietitian
  • Miami, FL
  • NPI 1306554217
  NPD (past)
• Kai Sebastian Brown, PT

  • Physical Therapist
  • Mission Viejo, CA
  • NPI 1942737952
  NPD (past)

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1275017832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 NE 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375800",
            "telephone_number": "305-570-1666",
            "fax_number": "305-203-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 NE 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375800",
            "telephone_number": "305-570-1666",
            "fax_number": "305-203-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY SPORTS INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "MARADIAGA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-514-3185",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PT26790",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Now Edgewater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Infinity Medical Equipment Inc
• Infinity Medical Rehab Inc .
• Infinity Medical Wellness LLC
• Infinity Paradise LLC
• Infinity Phamacy Corp
• Infinity Therapy Solutions, Inc,
• Infinity Therapy, Inc,
• Informed Familiesthe Florida Family Partnership
• Ing Life & Hope Corp
• Veronica Rosana Inga

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.