Gravity 21 Fort Lauderdale, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GRAVITY 21 FORT LAUDERDALE, LLC

Practice address

3401 N Dixie Hwy
Oakland Park, FL 33334-2839

Phone

(954) 440-4915

NPI assigned

Feb 11, 2021

Organization subpart

No

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

Authorized official

Name

Renato Silva

Title

Owner

Phone

(954) 805-0622

Specialties & licenses 1

Addresses

Other names 1

• G21 Fitness, Physical Therapy and Wellness Center Doing business as

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1992398804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 NE 17TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333053250",
            "telephone_number": "954-558-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N DIXIE HWY",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342839",
            "telephone_number": "954-440-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVITY 21 FORT LAUDERDALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "RENATO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-805-0622"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G21 Fitness, Physical Therapy and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Gousse
• Grace for All LLC
• Grace Medical Clinic
• Grace Medical Clinic, LLC
• Lynnette L Granger, M.S CCC-SLP
• Darlene Gray, CCC-SLP
• Jhonnarri Gray
• William H Grayson, MCAP, CIP, CAI
• Charlene Marie Grecsek, EDD, LMHC
• Ryan Greene

• Physical Therapy Clinic/Center in Oakland Park, FL
• Providers in Oakland Park, 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 Feb 11, 2021; 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.