Organization Active NPI

Sports Injury Rehabilitation Center

  • Physical Therapist
  • Hollywood, FL
National Provider Identifier
1477892115
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPORTS INJURY REHABILITATION CENTER
Practice address
4191 N State Road 7
Hollywood, FL 33021-1510
Phone
(786) 597-6080
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Mr. James Jay Lee
Title
President/Ceo
Phone
(786) 597-6080

Specialties & licenses 1

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

Addresses

Primary practice location

4191 N State Road 7
Hollywood, FL 33021-1510

Mailing address

2103 Renaissance Blvd
Unit 105
Miramar, FL 33025-5691

National Provider Directory

National Provider Directory

Locations

4191 N State Road 7
Hollywood, FL 33021
Phone (786) 597-6080

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1477892115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 RENAISSANCE BLVD",
            "address_2": "UNIT 105",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 N STATE ROAD 7",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211510",
            "telephone_number": "786-597-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS INJURY REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "786-597-6080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.