Sportz Rehab Llc is a medicare enrolled "Clinic/center" provider in Miami, Florida. Their current practice location is
9767 Sw 72nd St, Miami, Florida. You can reach out to their office (for appointments etc.) via phone at
(305) 570-1666.
Sportz Rehab Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Sportz Rehab Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1013557826.
Healthcare Provider's Profile
| Full Name | Sportz Rehab Llc |
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| Type | Facility |
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| Speciality | Clinic/center |
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| Location | 9767 Sw 72nd St, Miami, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013557826
- Provider Enumeration Date: 01/09/2020
- Last Update Date: 01/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 2466864921
- Enrollment ID: O20201208000687
Medical Identifiers
Medical identifiers for Sportz Rehab Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013557826 | NPI | - | NPPES |
| PT31195 | Other | FL | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Sportz Rehab Llc acts as a billing entity for following providers:
| Provider Name | Diogo R Trevisan |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1336508738
PECOS PAC ID: 3476850173
Enrollment ID: I20160323002057 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sportz Rehab Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sportz Rehab Llc
9767 Sw 72nd St,
Miami, FL 33173-4615
Ph: (305) 570-1666 | Sportz Rehab Llc
9767 Sw 72nd St,
Miami, FL 33173-4615
Ph: (305) 570-1666 |
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