Organization Active NPI

Atlas Sports Rehabilitation Services LLC

Doing business as Atlas Physical Therapy

  • Physical Therapist
  • Cooper City, FL
National Provider Identifier
1376155069
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATLAS SPORTS REHABILITATION SERVICES LLC
Doing business as
Atlas Physical Therapy
Practice address
8715 Stirling Rd
Cooper City, FL 33328-5932
Phone
(954) 900-3484
Fax
(954) 408-1597
NPI assigned
Aug 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Marjan Cvetkovic, PTNPI 1538777826
Title
Managing Member
Phone
(954) 900-3484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8715 Stirling Rd
Cooper City, FL 33328-5932

Mailing address

10171 NW 3Rd St
Pembroke Pines, FL 33026-3971

Other names 1

  • Atlas Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201201001155 FL Part B Supplier - Clinic/Group Practice 4981015617 Receives reassigned benefits from 1 practitioner
Practice locations: Cooper City, FL; Pembroke Pines, FL

National Provider Directory

National Provider Directory

Locations

8715 Stirling Rd
#C9
Cooper City, FL 33328

8715 Stirling Rd
Cooper City, FL 33328
Phone (954) 900-3484

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": "1598140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1376155069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10171 NW 3RD ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 STIRLING RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333285932",
            "telephone_number": "954-900-3484",
            "fax_number": "954-408-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS SPORTS REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-23",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "CVETKOVIC",
        "authorized_official_first_name": "MARJAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-900-3484",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.