Provider Demographics
NPI:1972672558
Name:DOWNTOWN SPORTFIT REHAB AND TRAINING INC
Entity Type:Organization
Organization Name:DOWNTOWN SPORTFIT REHAB AND TRAINING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-381-6223
Mailing Address - Street 1:1172 S DIXIE HWY
Mailing Address - Street 2:530
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2918
Mailing Address - Country:US
Mailing Address - Phone:305-381-6223
Mailing Address - Fax:305-381-6294
Practice Address - Street 1:200 S BISCAYNE BLVD
Practice Address - Street 2:SUITE 15A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2310
Practice Address - Country:US
Practice Address - Phone:305-381-6223
Practice Address - Fax:305-381-6294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT72912251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty