The Sport Clinic
LBN: Emerald Hills Rehabilitation Center Inc
The Sport Clinic is an health care organization with primary practice located at 3850 Sheridan Street , Hollywood FL 33021. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty.
Emerald Hills Rehabilitation Center Inc can be contacted via phone (954) 989-5255, or through Shapiro, Charles Michael via phone (954) 989-5255.
Contact Information
Primary practice address
3850 Sheridan Street
Hollywood FL 33021
Phone: (954) 989-5255
Fax: (954) 962-6445
Website:
Authorized official contact:
Name: Shapiro, Charles Michael Physical Therapist (PT)
Phone: (954) 989-5255
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT2021 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT19559 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT22241 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT32161 | Florida |
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1922107820 |
|---|---|
| LBN Legal business name | Emerald Hills Rehabilitation Center Inc |
| DBA Doing business as | The Sport Clinic |
| Authorized official | Shapiro, Charles Michael Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jan 8th, 2013 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922107820 | NPPES |
| Florida | Other | 1131310 | UNITED HEALTHCARE |
| Florida | Other | 228790 | UNITED HEALTHCARE |
| Florida | Other | 372531000 | UNITED HEALTHCARE |
| Florida | Other | 2072908 | UNITED HEALTHCARE |
| Florida | Other | K1489 | UNITED HEALTHCARE |
| Florida | Other | 4565667 | UNITED HEALTHCARE |
| Florida | Other | Y914R | UNITED HEALTHCARE |
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