Sportsedge Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SPORTSEDGE PHYSICAL THERAPY, LLC

Practice address

2825 N State Road 7 Ste 204
Margate, FL 33063-5737

Phone

(954) 451-3002

NPI assigned

Mar 15, 2019

Organization subpart

No

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

Authorized official

Name

Brigida Fenelon, CPC

Title

Office Manager

Phone

(954) 451-3010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1811456262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11147",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333391147",
            "telephone_number": "954-451-3002",
            "fax_number": "954-581-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 N STATE ROAD 7 STE 204",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635737",
            "telephone_number": "954-451-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 NE 20th Ter Ste 305",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333084510",
            "country_code": "US",
            "telephone_number": "954-771-8177",
            "fax_number": "954-771-3629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2964 N State Road 7 Ste 205",
            "address_purpose": "LOCATION",
            "city": "Margate",
            "state": "FL",
            "postal_code": "330635718",
            "country_code": "US",
            "telephone_number": "954-580-4080",
            "fax_number": "954-580-4081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPORTSEDGE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "FENELON",
        "authorized_official_first_name": "BRIGIDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-451-3010",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudine Spence, COTA
• Thomas Spiegel
• Spirelli Healthcare of Broward
• Dean Anthony Spirelli, D.C.
• Sportsedge Physical Therapy, LLC
• Stallion Medical Management, LLC
• Bernard Wendlin Steele, MD
• Fran Shechter Stein, MS, OTR/L
• Janice Stern, PHARM D
• Steven B. Margolin, D.D.S., P.a.

• Physical Therapy Clinic/Center in Margate, FL
• Providers in Margate, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.