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NPI Code Detail

MEDICARE: USA SPORTS THERAPY SOUTH MIAMI INC

MEDICARE: USA SPORTS THERAPY SOUTH MIAMI INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor
2225100000XPhysical TherapistFL

General Provider Information

NPI Number : 1154815926
Entity Type Code : Organization
Provider Name (Legal Business Name) : USA SPORTS THERAPY SOUTH MIAMI INC
Provider Business Mailing Address
First Line : 21150 BISCAYNE BLVD STE 406
Second Line :
City : AVENTURA
State : FL
Zip : 33180-1250
Country : US
Telephone Number : 305-935-9599
Fax Number : 305-932-5612
Provider Business Practice Location Address
First Line : 360 GRANELLO AVE
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-1883
Country : US
Telephone Number : 305-420-5682
Fax Number : 305-932-5612
Authorized Official
Title or Position : AO/ OWNER/ PROVIDER
Name : DR. MATTHEW COPPER
Credential : DC
Telephone Number : 305-935-9599
Provider Enumeration Date : 06/15/2018
Last Update Date : 02/05/2026

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Directions to “USA SPORTS THERAPY SOUTH MIAMI INC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.