Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Extreme Sports Medicine & Rehabilitation Inc

Organization Physical Therapist · NPI 1215377569

Extreme Sports Medicine & Rehabilitation Inc is a Physical Therapist in Miami Lakes, Florida. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14125 NW 80th Ave Ste 203
Miami Lakes, FL 33016-2351
Phone: (305) 381-5357
Fax: (305) 846-9653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1215377569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sean Williams — President · (954) 665-7326
NPI enumeratedJuly 1, 2013
Last updated in NPPESAugust 14, 2019
Mailing address4393 Sw 130th Ave, Davie, FL 33330-4730

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