The Sport Clinic

LBN: North Dade Physical Therapy, Inc.
The Sport Clinic is an health care organization with primary practice located at 18690 Nw 2Nd Avenue , Miami Gardens FL 33169. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. North Dade Physical Therapy, Inc. can be contacted via phone (305) 652-2005, or through Shapiro, Charles Michael via phone (954) 989-5255.

Contact Information

Primary practice address
18690 Nw 2Nd Avenue Miami Gardens FL 33169
Phone: (305) 652-2005
Fax: (305) 652-1741
Website:
Map and Directions
Authorized official contact:
Name: Shapiro, Charles Michael Physical Therapist (PT)
Phone: (954) 989-5255

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1609921113
LBN Legal business name North Dade Physical Therapy, Inc.
DBA Doing business as The Sport Clinic
Authorized official Shapiro, Charles Michael Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609921113 NPPES
Florida Other K1486 MEDICARE PTAN

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