Extreme Sports Medicine & Rehabilitation Inc - Medicare Physical Therapist in Miami Lakes, FL

Extreme Sports Medicine & Rehabilitation Inc is a medicare enrolled "Physical Therapist" provider in Miami Lakes, Florida. Their current practice location is 14125 Nw 80th Ave Ste 203, Miami Lakes, Florida. You can reach out to their office (for appointments etc.) via phone at (305) 381-5357.

Extreme Sports Medicine & Rehabilitation Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Extreme Sports Medicine & Rehabilitation Inc 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 1215377569.

Contact Information

Extreme Sports Medicine & Rehabilitation Inc
14125 Nw 80th Ave Ste 203,
Miami Lakes, FL 33016-2351
(305) 381-5357
(305) 846-9653

Map and Direction




Healthcare Provider's Profile

Full NameExtreme Sports Medicine & Rehabilitation Inc
TypeFacility
SpecialityPhysical Therapist
Location14125 Nw 80th Ave Ste 203, Miami Lakes, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215377569
  • Provider Enumeration Date: 07/01/2013
  • Last Update Date: 08/14/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8921242280
  • Enrollment ID: O20130926000613

Medical Identifiers

Medical identifiers for Extreme Sports Medicine & Rehabilitation Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215377569NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (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. Extreme Sports Medicine & Rehabilitation Inc acts as a billing entity for following providers:
Provider NameSean A Williams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134151202
PECOS PAC ID: 6406872928
Enrollment ID: I20051025000726

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. Extreme Sports Medicine & Rehabilitation Inc 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 AddressPractice Location Address
Extreme Sports Medicine & Rehabilitation Inc
4393 Sw 130th Ave,
Davie, FL 33330-4730

Ph: (954) 665-7326
Extreme Sports Medicine & Rehabilitation Inc
14125 Nw 80th Ave Ste 203,
Miami Lakes, FL 33016-2351

Ph: (305) 381-5357

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.