South Florida Physiatry LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME110485 Issued in FL

Legal business name

SOUTH FLORIDA PHYSIATRY LLC

Doing business as

Sports Medicine Group

Practice address

9400 SW 137TH Ave
Miami, FL 33186-1434

Phone

(305) 487-3040

Fax

(888) 929-8436

NPI assigned

Mar 11, 2017

Organization subpart

No

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

Authorized official

Name

Carla M Velez-Couto

Title

MGR

Phone

(305) 677-3541

Specialties & licenses 1

Addresses

Other names 1

• Sports Medicine Group Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• Jill Brigham, ARNP

  • Family Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1376020990
  Medicare reassignment NPD
• Rosa Gema Garcia Maldonado

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1982181194
  Medicare reassignment NPD
• Rhonda Patrick, ARNP

  • Family Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1508203837
  Medicare reassignment NPD
• Ricardo J Vasquez-Duarte, MD

  • Physical Medicine & Rehabilitation Physician
  • Miami, FL
  • NPI 1114172673
  Medicare reassignment NPD
• Jany Vazquez

  • Acute Care Nurse Practitioner
  • Miami, FL
  • NPI 1841735636
  Medicare reassignment NPD

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

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1285175125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 SW 12TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331355115",
            "telephone_number": "305-677-3541",
            "fax_number": "888-929-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861434",
            "telephone_number": "305-487-3040",
            "fax_number": "888-929-8436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 SW 12th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331355115",
            "country_code": "US",
            "telephone_number": "305-487-3040",
            "fax_number": "888-929-8436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH FLORIDA PHYSIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-11",
        "last_updated": "2025-09-02",
        "certification_date": "2024-12-14",
        "status": "A",
        "authorized_official_last_name": "VELEZ-COUTO",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "305-677-3541"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME110485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Medicine Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Florida Orthopaedic & Knee Institute
• South Florida Pain & Rehabilitation of West Dade LLC
• South Florida Pediatric Group Inc
• South Florida Pediatric Group, Inc.
• South Florida Pediatric Urology LLP
• South Florida Physician Network, LLC
• South Florida Physician Specialists LLC
• South Florida Physicians Associates
• South Florida Ppec Services, LLC
• South Florida Psychiatry

• Physical Medicine & Rehabilitation Physician in Miami, FL
• Providers in Miami, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.