Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VENGEANCE PHYSICAL THERAPY LLC
NPI 1760129753
Clinic/Center - Physical Therapy in Sunrise, FL

Active since May 19, 2022
1093 SHOTGUN RD, SUNRISE, FL 33326(786) 405-4992(786) 383-0450 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vengeance Physical Therapy Llc NPPES

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

VENGEANCE PHYSICAL THERAPY LLC (NPI 1760129753) is a healthcare organization registered as a physical therapy in Sunrise, Florida and active in the NPI registry since May 2022. The organization lists Nicholas Acosta, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1760129753
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameVENGEANCE PHYSICAL THERAPY LLC
Location Address1093 SHOTGUN RDSunrise, FL 33326-1911
Mailing Address1093 Shotgun RdSunrise, FL 33326-1911 · (786) 405-4992 · Fax (786) 383-0450
Fax(786) 383-0450
Organization SubpartNo
Authorized OfficialNicholas AcostaManaging Member · (786) 399-5515
Enumeration DateMay 19, 2022
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1760129753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
1093 SHOTGUN RD, Sunrise, FL 33326

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vengeance Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Vengeance Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1366190662
1093 SHOTGUN RD
Sunrise, FL 33326
(786) 405-4992
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1912637158
4507 SW 195TH TER
Miramar, FL 33029
(954) 734-0817
✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vengeance Physical Therapy LLC's NPI number?

The NPI number for Vengeance Physical Therapy LLC is 1760129753. It was assigned to this organization in the NPPES registry on May 19, 2022.

Where is Vengeance Physical Therapy LLC located?

Vengeance Physical Therapy LLC is located at 1093 Shotgun Rd, Sunrise, FL 33326. The listed phone number is (786) 405-4992.

What is Vengeance Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Vengeance Physical Therapy LLC enrolled in Medicare?

Yes. Vengeance Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vengeance Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Vengeance Physical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vengeance Physical Therapy LLC accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Vengeance Physical Therapy LLC 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 Vengeance Physical Therapy LLC was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.