Sports Medicine & Rehabilitation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SPORTS MEDICINE & REHABILITATION

Practice address

155 Riverway Dr
Vero Beach, FL 32963-2634

Phone

(703) 501-2349

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Elizabeth Ann Fryer, PT, DPTNPI 1083746218

Title

Owner-President

Phone

(703) 501-2349

Specialties & licenses 1

Addresses

Other names 1

• SMART PT Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Elizabeth Ann Fryer, PT, DPT

  • Physical Therapy Clinic/Center
  • Vero Beach, FL
  • NPI 1083746218
  Medicare reassignment Authorized official
• Laura Anne Migliorese Nemets, PT, OCS

  • Physical Therapist
  • Arlington, VA
  • NPI 1437213691
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1851424725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 RIVERWAY DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632634",
            "telephone_number": "703-501-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 RIVERWAY DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632634",
            "telephone_number": "703-501-2349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2371 N Edgewood St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222074924",
            "country_code": "US",
            "telephone_number": "703-243-7032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 15th St N",
            "address_2": "Suite G 3-2",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222012683",
            "country_code": "US",
            "telephone_number": "703-243-7032",
            "fax_number": "703-243-7034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPORTS MEDICINE & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "FRYER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "703-501-2349",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMART PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Ann Spillis, MS
• Spinal Decompression Center LLC
• Spine & Sport Institute, Inc.
• Spine Care America PC
• Spine Pain Clinic of Florida LLC
• Monika Srivastava, M.D.
• SSK Ophthalmology LLC
• Patricia Alexandria St Mary Durling, LMT
• Aubrey Anna St Mary
• Benton A St. Cyr

• Physical Therapy Clinic/Center in Vero Beach, FL
• Providers in Vero Beach, 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 Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.