Individual provider Active NPI

Marvin Sublett Jr., PT, DPT

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1700262532
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30493 Issued in FL
Practice address
5300 Powerline Rd Ste 202
Fort Lauderdale, FL 33309-3187
Phone
(954) 940-0718
NPI assigned
Aug 4, 2015
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT30493 FL Primary

Addresses

Primary practice location

5300 Powerline Rd Ste 202
Fort Lauderdale, FL 33309-3187

Mailing address

5700 Biscayne Blvd Apt 402
Miami, FL 33137-2658
Phone (404) 985-2351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180815003622 FL Practitioner - Physical Therapist in Private Practice 9133478704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coast 2 Coast Sports MedicineGroup PAC ID 9436597622, 2 clinicians

Practice addresses (Care Compare)

5300 Powerline Rd
Suite 202
Ft Lauderdale, FL 33309-3187
Phone (954) 940-0718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sublime Kinetics, LLC CurrentSince Dec 14, 2025 Accepting new patients
Coast 2 Coast Sports Medicine Physical Therapist CurrentSince Dec 14, 2025 Accepting new patients
Jaguar Therapeutics, LLC Physical Therapist PastSince Dec 23, 2022 Accepting new patients
Downtown Sportfit Rehab and Training Inc Physical Therapist Past Accepting new patients

Locations

5300 Powerline Rd
Ste 202
Ft Lauderdale, FL 33309
Phone (954) 940-0718

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1700262532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 BISCAYNE BLVD APT 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372658",
            "telephone_number": "404-985-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 POWERLINE RD STE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093187",
            "telephone_number": "954-940-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBLETT",
        "first_name": "MARVIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.