ALLIANCE SPORTS REHAB
NPI 1033701123
Physical Therapist - Sports in St Petersburg, FL

Active since February 09, 2021
111 2ND AVE NE STE 1401, ST PETERSBURG, FL 33701(727) 258-7224 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alliance Sports Rehab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLIANCE SPORTS REHAB (NPI 1033701123) is a healthcare organization registered as a sports in St Petersburg, Florida and active in the NPI registry since February 2021. The organization lists Brian Broussard, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1033701123
Entity TypeOrganization
Primary Taxonomy2251S0007X
Legal Business NameALLIANCE SPORTS REHAB
Location Address111 2ND AVE NE STE 1401St Petersburg, FL 33701-3480
Mailing Address111 2nd Ave Ne Ste 1401St Petersburg, FL 33701-3480 · (727) 258-7224
Organization SubpartNo
Authorized OfficialBrian BroussardCo-owner · (727) 258-7224
Enumeration DateFebruary 9, 2021
NPPES CertifiedFebruary 9, 2021
NPI 1033701123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
111 2ND AVE NE STE 1401, St Petersburg, FL 33701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Sports Medicine)
111 2ND AVE NE STE 1401
ST PETERSBURG, FL 33701
Family Medicine (Sports Medicine)
111 2ND AVE NE STE 1401
ST PETERSBURG, FL 33701
Physical Therapist (Sports)
111 2ND AVE NE STE 1401
ST PETERSBURG, FL 33701
Physical Therapist
111 2ND AVE NE STE 1401
ST PETERSBURG, FL 33701
Physical Therapist (Sports)
111 2ND AVE NE STE 1401
ST PETERSBURG, FL 33701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alliance Sports Rehab's NPI number?

The NPI number for Alliance Sports Rehab is 1033701123. It was assigned to this organization in the NPPES registry on February 9, 2021.

Where is Alliance Sports Rehab located?

Alliance Sports Rehab is located at 111 2nd Ave NE Ste 1401, St Petersburg, FL 33701. The listed phone number is (727) 258-7224.

What is Alliance Sports Rehab's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Alliance Sports Rehab was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.