PREMIER PHYSICAL THERAPY & SPORTS MEDICINE (NPI# 1386274504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386274504 |
| Entity Type | Organization |
| Organization Name | PREMIER PHYSICAL THERAPY & SPORTS MEDICINE |
| Practice Address |
4007 Sw Port St Lucie Blvd Ste 6 Port Saint Lucie FL 34953-5679 |
| Mailing Address |
Po Box 8600 Port Saint Lucie FL 34985-8600 |
| Practice Telephone | 7723357966 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |
| Authorized Official Name | JEFFREY ALAN TUCKER (OWNER) |
| Authorized Official Telephone | 7723357966 |
| Is Organization Subpart | Y |
| Parent Organization Name | PREMIER PHYSICAL THERAPY & SPORTS MEDICINE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669005559 | Premier Physical Therapy & Sports Medicine | Physical Therapist | 2222 S Harbor City Blvd Ste 530, Melbourne, FL 32901-5591 | 2020-02-19 |
| 1174094536 | Premier Physical Therapy & Sports Medicine | Physical Therapist | 5054 Se Federal Hwy Ste 10, Stuart, FL 34997-6627 | 2018-12-11 |
| 1205347804 | Premier Physical Therapy & Sports Medicine | Physical Therapist | 3660 Sw 30th Ave, Palm City, FL 34990-3700 | 2017-10-23 |
| 1265724330 | Premier Physical Therapy & Sports Medicine | Physical Therapist | 897 Ne Jensen Beach Blvd, Jensen Beach, FL 34957-4799 | 2011-05-09 |
| Street Address |
4007 SW PORT ST LUCIE BLVD STE 6 |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34953-5679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| Find all providers in zip 34953 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395564 | Brittany Benson | Physical Therapist | 31 Piazza Dr, Port Saint Lucie, FL 34986-3105 | 2020-08-05 |
| 1184233827 | Laura Davis | Physical Therapist | 1602 Sw Lantern Ave, Port Saint Lucie, FL 34953-2503 | 2020-07-29 |
| 1306469226 | John Paul Nurczyk | Physical Therapist | 302 Nw Binghampton Ln, Port Saint Lucie, FL 34983-3434 | 2020-05-27 |
| 1134759202 | Ryan Justice | Physical Therapist | 1400 Se Goldtree Dr Ste 205, Port Saint Lucie, FL 34952-7583 | 2020-01-17 |
| 1083108823 | Joshua James Simons | Physical Therapist | 519 Nw Lake Whitney Pl Ste 101, Port Saint Lucie, FL 34986-1621 | 2018-06-15 |
| 1730689381 | Kyle Hunter | Physical Therapist | 10050 Sw Innovation Way Ste 201, Port Saint Lucie, FL 34987-2117 | 2018-02-20 |
| 1225428055 | Rochelle Moises | Physical Therapist | 11270 Sw Wyndham Way, Port Saint Lucie, FL 34987-2782 | 2015-02-02 |
| 1174926018 | Cecille Campbell | Physical Therapist | 2009 Sw Beard St, Port Saint Lucie, FL 34953-1785 | 2014-10-07 |
| 1841592136 | Angela S Lee | Physical Therapist | 1615 Sw Ocean Cove Ave, Port Saint Lucie, FL 34953-2561 | 2010-11-19 |
| 1750602462 | Sperancia Anna White | Physical Therapist | 519 Sw Nagle Pl, Port Saint Lucie, FL 34953-3157 | 2010-06-16 |
| Find all providers in PORT SAINT LUCIE | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34953 |
Please comment or provide details below to improve the information on PREMIER PHYSICAL THERAPY & SPORTS MEDICINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.