Organization Active NPI

Florida Chiropractic and Sports Rehab Center Inc

  • Sports Physician Chiropractor
  • Miami, FL
National Provider Identifier
1487873477
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH7801 Issued in FL
Legal business name
FLORIDA CHIROPRACTIC AND SPORTS REHAB CENTER INC
Practice address
20754 W Dixie Hwy
Miami, FL 33180-1146
Phone
(305) 935-9599
Fax
(305) 932-5612
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Dr. Matthew Ian Cooper, DC
Title
Owner
Phone
(305) 935-9599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X CH7801 FL Primary

Addresses

Primary practice location

20754 W Dixie Hwy
Miami, FL 33180-1146

Mailing address

20754 W Dixie Hwy
Miami, FL 33180-1146
Phone (305) 935-9599

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1487873477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20754 W DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801146",
            "telephone_number": "305-935-9599",
            "fax_number": "305-932-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20754 W DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801146",
            "telephone_number": "305-935-9599",
            "fax_number": "305-932-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CHIROPRACTIC AND SPORTS REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-935-9599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH7801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.