NPIMap

Organization Active NPI

Physical & Sports Therapy Center, Inc

  • Rehabilitation Clinic/Center
  • Miami Lakes, FL
National Provider Identifier
1730397076
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
PT2508 Issued in FL
Legal business name
PHYSICAL & SPORTS THERAPY CENTER, INC
Practice address
7480 Fairway Dr
Suite 204
Miami Lakes, FL 33014-6879
Phone
(305) 824-9292
Fax
(305) 824-0033
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Mrs. Nike Adamedes, PTNPI 1205044542
Title
Physical Therapist
Phone
(305) 824-9292

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
Rehabilitation Clinic/Center 261QR0400X PT2508 FL Primary

Addresses

Primary practice location

7480 Fairway Dr
Suite 204
Miami Lakes, FL 33014-6879

Mailing address

7480 Fairway Dr
Suite 204
Miami Lakes, FL 33014-6879
Phone (305) 824-9292

Other identifiers 1

IdentifierTypeStateIssuer
Y915NOtherFLBLUECROSS BLUESHIELD

Other names 1

  • Physical & Sports Therapy Center Other name

National Provider Directory

National Provider Directory

Locations

7480 Fairway Dr
Ste 204
Miami Lakes, FL 33014
Phone (305) 824-9292

7480 Fairway Dr
Ste 203
Miami Lakes, FL 33014
Phone (305) 824-9292

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1730397076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 FAIRWAY DR",
            "address_2": "SUITE 204",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146879",
            "telephone_number": "305-824-9292",
            "fax_number": "305-824-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 FAIRWAY DR",
            "address_2": "SUITE 204",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146879",
            "telephone_number": "305-824-9292",
            "fax_number": "305-824-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL & SPORTS THERAPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "ADAMEDES",
        "authorized_official_first_name": "NIKE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "305-824-9292",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "PT2508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "Y915N",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical & Sports Therapy Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.