Sportsedge Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SPORTSEDGE PHYSICAL THERAPY, LLC

Practice address

2825 N State Road 7 Ste 204
Margate, FL 33063-5737

Phone

(954) 451-3002

NPI assigned

Nov 25, 2019

Last updated

Nov 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gernell Hamilton

Title

Credentialing Specialist

Phone

(954) 451-3008

Specialties & licenses 1

Addresses

Tax ID family

Sportsedge Physical Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sportsedge Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1952947285
  NPD tax ID

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1407492424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11147",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333391147",
            "telephone_number": "954-451-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 N STATE ROAD 7 STE 204",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635737",
            "telephone_number": "954-451-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSEDGE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "GERNELL",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "954-451-3008"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spark of Hope, LLC.
• Claudine Spence, COTA
• Thomas Spiegel
• Spirelli Healthcare of Broward
• Dean Anthony Spirelli, D.C.
• Sportsedge Physical Therapy, LLC
• Stallion Medical Management, LLC
• Bernard Wendlin Steele, MD
• Fran Shechter Stein, MS, OTR/L
• Janice Stern, PHARM D

• Physical Therapy Clinic/Center in Margate, FL
• Providers in Margate, 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 Nov 25, 2019; 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.