Healthcare Provider Details

I. General information

NPI: 1962821504
Provider Name (Legal Business Name): USA SPORTS THERAPY SOUTH BEACH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2014
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FISHER ISLAND DR FL 2
MIAMI BEACH FL
33109-0001
US

IV. Provider business mailing address

21150 BISCAYNE BLVD STE 406
AVENTURA FL
33180-1250
US

V. Phone/Fax

Practice location:
  • Phone: 305-935-9599
  • Fax:
Mailing address:
  • Phone: 305-935-9599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JESSICA TUZIK
Title or Position: CREDENITIALING MANAGER
Credential:
Phone: 941-544-0388