Fede Sports and Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FEDE SPORTS AND PHYSICAL THERAPY LLC

Doing business as

Josh Fede

Practice address

4311 NW 53Rd CT
Coconut Creek, FL 33073-4007

Phone

(786) 683-9226

NPI assigned

Mar 28, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Fede, DPTNPI 1093109852

Title

Owner

Phone

(786) 683-9226

Specialties & licenses 1

Addresses

Other names 1

• Josh Fede Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Joshua Fede, DPT

  • Sports Physical Therapist
  • Sunrise, FL
  • NPI 1093109852
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1285437046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 NW 53RD CT",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734007",
            "telephone_number": "786-683-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 NW 53RD CT",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734007",
            "telephone_number": "786-683-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDE SPORTS AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "FEDE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-683-9226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Josh Fede",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie Betty Fanfan, RN
• Jeanan Fares
• Tammye Farmer, R.D.
• Farr Dental
• Mario Noel Favilli, M.D.
• Stacie Lynn Feise, RN
• Ali Feldman-Butters, LMHC
• Alisa Lee Feldman, AU.D
• Dawn Fele, MS, CCC/SLP
• Michelle Arlene Ferreira, D.O.

• Physical Therapy Clinic/Center in Coconut Creek, FL
• Providers in Coconut Creek, 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 Mar 28, 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.