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LAILAH ISSAC DO
NPI 1629398441
Physical Medicine & Rehabilitation - Sports Medicine in Davie, FL

Active since June 03, 2010PECOS Enrolled
76.76/100
CMS Quality Rating
3301 COLLEGE AVE, RM 1433, DAVIE, FL 33314(954) 262-5590(954) 262-5570 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2023, Oct 20, 2023, Mar 31, 2021 and 1 more (4 updates tracked since 2019).

About Lailah Issac Do NPPES

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

LAILAH ISSAC DO (NPI 1629398441) is an individual sports medicine provider in Davie, Florida, licensed in Florida (OS14744) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Owings Mills.

NPPES Registry Identity

NPI1629398441
Entity TypeIndividualFemale
Primary Taxonomy2081S0010X
Provider Legal NameLAILAH ISSACCredential: DO
Location Address3301 COLLEGE AVE, RM 1433Davie, FL 33314-7722
Mailing AddressPo Box 290370Davie, FL 33329-0370 · (954) 262-4317 · Fax (954) 262-2269
Phone(954) 262-5590
Fax(954) 262-5570
Sole ProprietorNo
Enumeration DateJune 3, 2010
Last NPPES UpdateDecember 12, 20234 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1629398441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in FL · OS14744
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
3301 COLLEGE AVE, Davie, FL 33314
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Secondary Practice Location 1

Location 17920 McDonogh Rd, Suite 201Owings Mills, MD 21117-5273 · Phone (443) 693-7246 · Fax (866) 902-5997

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lailah Issac Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.13
Improvement Activities40
Cost65.98

Other Providers at the Same Location NPPES 20

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

NICOLE WILSON
Occupational Therapist
3301 COLLEGE AVE
DAVIE, FL 33314
Broward County (954) 262-7124
MISS NANCY MARIE GAUVIN M.S.
Speech-Language Pathologist
3301 COLLEGE AVE
DAVIE, FL 33314
Broward County (954) 262-7710
MADISON DISSON PT, DPT
Physical Therapist
3301 COLLEGE AVE
DAVIE, FL 33314
Broward County (954) 262-4151
MR. DUSTIN RORY GATENS ATC, LAT
Specialist/Technologist (Athletic Trainer)
3301 COLLEGE AVE, NOVA SOUTHEASTERN UNIVERSITY ATHLETIC TRAINING
DAVIE, FL 33314
Broward County (754) 264-9155
MRS. KARLI ROHDE MCALEES OTR/L
Occupational Therapist
3301 COLLEGE AVE
DAVIE, FL 33314
Broward County (561) 758-9127
ADI LOUDEN
Student in an Organized Health Care Education/Training Program
3301 COLLEGE AVE
DAVIE, FL 33314
Broward County (954) 262-1975
ANGEL JOAQUIN MESTRE DPT
Physical Therapist
3301 COLLEGE AVE
DAVIE, FL 33314
Broward County (954) 262-4149
MELISSA DREGER PT, DPT
Physical Therapist
3301 COLLEGE AVE
DAVIE, FL 33314
Broward County (954) 262-4100

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 Lailah Issac's NPI number?

The NPI number for Lailah Issac is 1629398441. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Lailah Issac located?

Lailah Issac practices at 3301 College Ave Rm 1433, Davie, FL 33314. The listed phone number is (954) 262-5590.

What is Lailah Issac's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Lailah Issac enrolled in Medicare?

Yes. Lailah Issac is registered in the Medicare PECOS enrollment system.

What insurance does Lailah Issac accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Lailah Issac as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lailah Issac was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.