NPIMap

Organization Active NPI

Athletix Rehab and Recovery, LLC

  • Physical Therapist
  • Deerfield Beach, FL
National Provider Identifier
1306443221
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATHLETIX REHAB AND RECOVERY, LLC
Practice address
1401 Green Rd Ste Def
Deerfield Beach, FL 33064-1080
Phone
(570) 574-7517
NPI assigned
Oct 4, 2020
Last updated
Oct 4, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ATHLETIX REHAB AND RECOVERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2020

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

Authorized official

Name
Dr. Sharif Tabbah, DPT, CSCS
Title
Owner
Phone
(305) 501-0231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1401 Green Rd Ste Def
Deerfield Beach, FL 33064-1080

Mailing address

6941 SW 63Rd CT
South Miami, FL 33143-3344

National Provider Directory

National Provider Directory
Tax ID family
Athletix Rehab and Recovery LLC3 organizations share this tax ID, including this one
Part of
Athletix Rehab and Recovery LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601769600000",
    "number": "1306443221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6941 SW 63RD CT",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GREEN RD STE DEF",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641080",
            "telephone_number": "570-574-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIX REHAB AND RECOVERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHLETIX REHAB AND RECOVERY",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A",
        "authorized_official_last_name": "TABBAH",
        "authorized_official_first_name": "SHARIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-501-0231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; 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.