Extreme Sports Medicine & Rehabilitation Inc
NPI 1215377569 · Physical Therapist · Miami Lakes, FL
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Extreme Sports Medicine & Rehabilitation Inc is a Physical Therapist organization in Miami Lakes, FL (NPI 1215377569).
Provider details
- NPI number
- 1215377569
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Sean Williams, President(954) 665-7326
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-07-01
- Last updated
- 2019-08-14
Frequently asked questions
- What is Extreme Sports Medicine & Rehabilitation Inc's NPI number?
- Extreme Sports Medicine & Rehabilitation Inc's National Provider Identifier (NPI) is 1215377569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Extreme Sports Medicine & Rehabilitation Inc?
- Extreme Sports Medicine & Rehabilitation Inc is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Extreme Sports Medicine & Rehabilitation Inc located?
- Extreme Sports Medicine & Rehabilitation Inc's practice location on file with NPPES is 14125 Nw 80th Ave Ste 203, Miami Lakes, FL 33016-2351.
- What is Extreme Sports Medicine & Rehabilitation Inc's phone number?
- The practice phone number listed in the NPPES registry for Extreme Sports Medicine & Rehabilitation Inc is (305) 381-5357.
- Does Extreme Sports Medicine & Rehabilitation Inc accept Medicare?
- Extreme Sports Medicine & Rehabilitation Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Extreme Sports Medicine & Rehabilitation Inc?
- The authorized official listed on Extreme Sports Medicine & Rehabilitation Inc's NPPES record is Sean Williams, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Extreme Sports Medicine & Rehabilitation Inc's NPI active?
- Yes — Extreme Sports Medicine & Rehabilitation Inc's NPI (1215377569) is active in the NPPES registry as of the last update on 2019-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.