Organization
BOLT PERFORMANCE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DAGES (OWNER)
(305) 420-8265
Entity
Organization
Contact information
Practice address
8100 SW 81ST DR STE 180, MIAMI, FL 33143-6603
(305) 420-8265
Mailing address
390 NE 191ST ST STE 51322, MIAMI, FL 33179-3899
(305) 420-8265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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