NPIMap

Organization Active NPI

Athletix Rehab and Recovery, LLC

  • Physical Therapist
  • Davie, FL
National Provider Identifier
1801301015
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27956 Issued in FL
Legal business name
ATHLETIX REHAB AND RECOVERY, LLC
Practice address
5850 S Pine Island Rd
Davie, FL 33328-5933
Phone
(305) 501-0231
NPI assigned
Dec 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Authorized official

Name
Dr. Sharif Tabbah, DPT, CSCS
Title
Co-Owner
Phone
(305) 501-0231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 27956 FL Primary

Addresses

Primary practice location

5850 S Pine Island Rd
Davie, FL 33328-5933

Mailing address

60 SW 13TH St Apt 4005
Miami, FL 33130-4358

Other names 1

  • Professional Rehabilitation of Orthopedics and Sports Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Athletix Rehab and Recovery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1801301015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SW 13TH ST APT 4005",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331304358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 S PINE ISLAND RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285933",
            "telephone_number": "305-501-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIX REHAB AND RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "TABBAH",
        "authorized_official_first_name": "SHARIF",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "305-501-0231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "27956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Rehabilitation of Orthopedics and Sports",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.