Organization Active NPI

USA Sports Medicine Broward

Doing business as N/a

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1356660690
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
USA SPORTS MEDICINE BROWARD
Doing business as
N/a
Practice address
777 SE 20TH St Ste 200
Fort Lauderdale, FL 33316-3589
Phone
(954) 302-7717
Fax
(754) 216-2749
NPI assigned
May 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Matthew Cooper
Title
Owner
Phone
(941) 412-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

777 SE 20TH St Ste 200
Fort Lauderdale, FL 33316-3589

Mailing address

777 SE 20TH St Ste 200
Fort Lauderdale, FL 33316-3589
Phone (954) 302-7717

Other practice location 1

11410 N Kendall Dr Ste 110
Miami, FL 33176-1031
Phone (305) 479-2973

Other practice location 2

9050 Pines Blvd Ste 102
Pembroke Pines, FL 33024-6400
Phone (954) 241-3692

Other practice location 3

800 E Venice Ave Ste A
Venice, FL 34285-7146
Phone (941) 412-3800

Other names 2

  • N/A Doing business as
  • Peak Perfomance Rehabilitation Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110405000870 FL Part B Supplier - Clinic/Group Practice 8921282690 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Fort Lauderdale, FL; Pembroke Pines, FL; Miami, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4431 SW 64th Ave
Davie, FL 33314

632 N Federal Hwy
Fort Lauderdale, FL 33304
Phone (954) 927-1776

632 N Federal Hwy
#634
Fort Lauderdale, FL 33304

210 S Federal Hwy
Ste 403
Hollywood, FL 33020
Phone (954) 929-3449

210 S Federal Hwy
Ste 302
Hollywood, FL 33020
Phone (954) 322-1110

1740 Edgewood Ave W
Jacksonville, FL 32208
Phone (904) 765-5554

7374 SW 93rd Ave
Ste 202C
Miami, FL 33173

3190 S State Road 7
Ste 12B
Miramar, FL 33023
Phone (954) 961-0511

1380 NE Miami Gardens Dr
Ste 225
North Miami Beach, FL 33179
Phone (305) 651-6891

9050 Pines Blvd
#S170
Pembroke Pines, FL 33024

1604 Town Center Blvd
Weston, FL 33326
Phone (954) 349-2094

2300 N Commerce Pkwy
Ste 111
Weston, FL 33326
Phone (305) 804-7184

Practitioners & affiliated clinicians

Practitioners 10

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": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1356660690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SE 20TH ST STE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163589",
            "telephone_number": "954-302-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SE 20TH ST STE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163589",
            "telephone_number": "954-302-7717",
            "fax_number": "754-216-2749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11410 N Kendall Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331761031",
            "country_code": "US",
            "telephone_number": "305-479-2973",
            "fax_number": "754-216-2749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9050 Pines Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246400",
            "country_code": "US",
            "telephone_number": "954-241-3692",
            "fax_number": "954-241-3693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Venice Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342857146",
            "country_code": "US",
            "telephone_number": "941-412-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "USA SPORTS MEDICINE BROWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-412-3800"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peak Perfomance Rehabilitation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.