Organization
CHIEF PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Active
Organization
CHIEF PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Active
Parent organization
CHIEF PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHIEF PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Authorized official
CARSON KUTUCHIEF DPT (OWNER)
(954) 256-9052
Entity
Organization
Contact information
Practice address
200 NE 3RD AVE, FORT LAUDERDALE, FL 33301-1148
(954) 256-9052
(954) 256-9053
Mailing address
805 SE 3RD AVE, FT LAUDERDALE, FL 33316-1105
(954) 256-9052
(954) 256-9053
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2026
Last updated
08/10/2026
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