Organization Active NPI

USA Sports Therapy Fisher Island Inc

  • Physical Therapy Clinic/Center
  • Venice, FL
National Provider Identifier
1275312092
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
USA SPORTS THERAPY FISHER ISLAND INC
Practice address
804 E Venice Ave
Venice, FL 34285-7039
Phone
(941) 412-3800
NPI assigned
Sep 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Dr. Matthew I Cooper, DC
Title
Ao/Owner
Phone
(305) 935-9599

Specialties & licenses 1

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

Addresses

Primary practice location

804 E Venice Ave
Venice, FL 34285-7039

Mailing address

21000 NE 28TH Ave Ste 104
Aventura, FL 33180-1421
Phone (305) 935-9599

Other names 1

  • Twin Palms Chiropractic Other name

National Provider Directory

National Provider Directory

Locations

804 E Venice Ave
Venice, FL 34285
Phone (941) 412-3800

Practitioners & 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": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1275312092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 NE 28TH AVE STE 104",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801421",
            "telephone_number": "305-935-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857039",
            "telephone_number": "941-412-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA SPORTS THERAPY FISHER ISLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "AO/OWNER",
        "authorized_official_telephone_number": "305-935-9599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Palms Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.