Organization Active NPI

Athlete by Design Youth Sports Foundation

  • Physical Therapy Clinic/Center
  • Miami Gardens, FL
National Provider Identifier
1487548129
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ATHLETE BY DESIGN YOUTH SPORTS FOUNDATION
Practice address
18605 NW 27TH Ave
Miami Gardens, FL 33056-3106
Phone
(949) 987-1113
NPI assigned
Jun 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Bryant Burton
Title
Founder
Phone
(949) 987-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

18605 NW 27TH Ave
Miami Gardens, FL 33056-3106

Mailing address

401 E Las Olas Blvd Ste 130
Fort Lauderdale, FL 33301-2477
Phone (949) 987-1113

Other names 1

  • Athlete By Design Former legal business name

National Provider Directory

National Provider Directory

Locations

401 E Las Olas Blvd
Ste 130
Fort Lauderdale, FL 33301

18605 NW 27th Ave
Miami Gardens, FL 33056
Phone (949) 987-1113

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1487548129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E LAS OLAS BLVD STE 130",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012477",
            "telephone_number": "949-987-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18605 NW 27TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563106",
            "telephone_number": "949-987-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETE BY DESIGN YOUTH SPORTS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "949-987-1113"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athlete By Design",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.