NPIMap

Organization Active NPI

USA Sports Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Miami Beach, FL
National Provider Identifier
1639700370
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
USA SPORTS MEDICINE LLC
Practice address
404 Washington Ave Ste 120
Miami Beach, FL 33139-6651
Phone
(305) 395-9599
Fax
(305) 932-5612
NPI assigned
Jan 31, 2020
Last updated
Jan 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Dr. Matthew Cooper, DCNPI 1932127529
Title
Ao/Provider
Phone
(305) 935-9599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

404 Washington Ave Ste 120
Miami Beach, FL 33139-6651

Mailing address

404 Washington Ave Ste 120
Miami Beach, FL 33139-6651
Phone (305) 395-9599

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210304000227 FL Part B Supplier - Clinic/Group Practice 2062828775 Receives reassigned benefits from 17 practitioners
Practice locations: Miami Beach, FL; Boynton Beach, FL; Boca Raton, FL; Hallandale Beach, FL

National Provider Directory

National Provider Directory

Locations

6600 High Ridge Rd
Boynton Beach, FL 33426
Phone (561) 245-8103

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1639700370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 WASHINGTON AVE STE 120",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396651",
            "telephone_number": "305-395-9599",
            "fax_number": "305-932-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 WASHINGTON AVE STE 120",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396651",
            "telephone_number": "305-395-9599",
            "fax_number": "305-932-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "AO/PROVIDER",
        "authorized_official_telephone_number": "305-935-9599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.