NPIMap

Organization Active NPI

Pro-Tech Sports Medicine Inc

  • Primary Podiatric Medicine Podiatrist
  • South Miami, FL
National Provider Identifier
1801098769
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
P02792 Issued in FL
Legal business name
PRO-TECH SPORTS MEDICINE INC
Practice address
7241 SW 63Rd Ave
Suite 102a
South Miami, FL 33143-4838
Phone
(305) 668-2860
Fax
(305) 668-2862
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Ms. Melissa Leeds
Title
Administrator
Phone
(305) 668-2860

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213EP1101X P02792 FL Primary
Sports Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0000X P02027 FL

Addresses

Primary practice location

7241 SW 63Rd Ave
Suite 102a
South Miami, FL 33143-4838

Mailing address

7241 SW 63Rd Ave
Suite 102a
South Miami, FL 33143-4838
Phone (305) 668-2860

Other identifiers 1

IdentifierTypeStateIssuer
45915OtherFLBCBS GROUP #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1801098769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7241 SW 63RD AVE",
            "address_2": "SUITE 102A",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434838",
            "telephone_number": "305-668-2860",
            "fax_number": "305-668-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7241 SW 63RD AVE",
            "address_2": "SUITE 102A",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434838",
            "telephone_number": "305-668-2860",
            "fax_number": "305-668-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-TECH SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "LEEDS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-668-2860",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "P02792",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": "FL",
            "license": "P02027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "45915",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.