Sports LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPORTS LLC

Practice address

7770 Dean Martin Dr Ste 307
Las Vegas, NV 89139

Phone

(702) 445-7554

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Stephanie Holmstrom

Title

Administrator

Phone

(702) 655-8535

Specialties & licenses 1

Addresses

Other names 1

• FYZICAL SPORTS Doing business as

Practitioners 1

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

• Christopher Hugh Mulvey, DPT

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1134193949
  NPD

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1851847404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 W CHEYENNE AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89129",
            "telephone_number": "702-655-8535",
            "fax_number": "702-656-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 DEAN MARTIN DR STE 307",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89139",
            "telephone_number": "702-445-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "HOLMSTROM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-655-8535"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL SPORTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Spoon, RD, LD
• Nerissa Spooner
• Elijah Spoozak
• Sport-Social
• Sports LLC
• Daniel Sposito
• Sara Jean Spradling
• Mercedes Spraggins
• Pamela J Spraggins
• Sara Sprague

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.