PREMIER PHYSICAL THERAPY AND SPORTS MEDICINE (NPI# 1780815837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780815837 |
| Entity Type | Organization |
| Organization Name | PREMIER PHYSICAL THERAPY AND SPORTS MEDICINE |
| Practice Address |
2220 Se Ocean Blvd Suite 202 Stuart FL 34996-3308 |
| Mailing Address |
Po Box 8600 Port St Lucie FL 34985-8600 |
| Practice Telephone | 7722834713 |
| Practice Fax Number | 7722834715 |
| Mailing Telephone | 7723357966 |
| Mailing Fax Number | 7723357963 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-10-09 |
| Authorized Official Name | MR. JEFFREY A TUCKER (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 7723357966 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 12440 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | 650023083 | 01 |
| FL | BCBS | Y90AC | 01 |
| FL | RAILROAD MEDICARE PTAN | CK5189 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801906227 | Premier Physical Therapy and Sports Medicine | Physical Therapist | 1715 37th St, 1st Floor, Vero Beach, FL 32960 | 2006-08-30 |
| Street Address |
2220 SE OCEAN BLVD SUITE 202 |
| City | STUART |
| State | FL |
| Zip Code | 34996-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609863398 | Romagosa Dermatology Group LLC | Dermatology | 2220 Se Ocean Blvd, Suite 301, Stuart, FL 34996-2364 | 2005-09-29 |
| 1871945113 | Sara Parks | Nurse Practitioner | 2220 Se Ocean Blvd, Suite 301, Stuart, FL 34996-3301 | 2016-07-11 |
| 1043680770 | Shuster Eye Pa | Ophthalmology | 2220 Se Ocean Blvd, Suite 101, Stuart, FL 34996-3301 | 2015-10-07 |
| 1588092050 | Mecnb Inc | Clinic/Center | 2220 Se Ocean Blvd, Ste. 101, Stuart, FL 34996-3301 | 2013-10-21 |
| 1417271578 | Coastal Orthopaedic and Sports Medicine Center | Specialist | 2220 Se Ocean Blvd, Ste 302, Stuart, FL 34996-3301 | 2010-03-18 |
| 1356573315 | Sarah Cerminara | Dermatology | 2220 Se Ocean Blvd, Suite 301, Stuart, FL 34996-3301 | 2009-08-10 |
| 1720230485 | Family Foot & Ankle of Stuart Pl | Podiatrist | 2220 Se Ocean Blvd, Suite 201, Stuart, FL 34996-3308 | 2008-10-14 |
| 1376705350 | Gregory Barron | Dermatology | 2220 Se Ocean Blvd, Suite 301, Stuart, FL 34996-3301 | 2008-06-30 |
| 1205046984 | Yvonne Foy Romagosa | Dermatology | 2220 Se Ocean Blvd, Ste 301, Stuart, FL 34996-3308 | 2007-05-23 |
| 1639266034 | Alan Roger Shuster | Ophthalmology | 2220 Se Ocean Blvd, Suite 101, Stuart, FL 34996-3301 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164061578 | See and Sun Optical | Technician/Technologist | 3736 Se Ocean Blvd, Stuart, FL 34996 | 2020-01-02 |
| 1528558822 | Shweta Frechette | Nurse Practitioner | 2221 Se Ocean Blvd Ste 100, Stuart, FL 34996 | 2018-05-14 |
| 1790273944 | Harbour Bay Pharmacy LLC | Pharmacy | 3754 Se Ocean Blvd Ste B, Stuart, FL 34996 | 2018-04-24 |
| 1053828921 | Barbara Ann Ohara | Counselor | 2929 S.e. Ocean Blvd., Stuart, FL 34996 | 2018-01-02 |
| 1417370651 | National Laboratories, LLC | Clinical Medical Laboratory | 1411 Se Ocean Avenue, Stuart, FL 34996 | 2014-01-23 |
| 1972871747 | Cara Montgomery | Counselor | 850 Se Stafford Dr, Stuart, FL 34996 | 2011-12-08 |
| 1053557603 | Glenn Allen Feigen | Licensed Practical Nurse | 3727 Se Ocean Blvd # 200b, General Healthcare Resources, Inc., Stuart, FL 34996 | 2009-01-05 |
| 1861665044 | Robert O. Baratta | Internal Medicine | 2400 Se Monterey Road, Suite 300, Stuart, FL 34996 | 2008-04-08 |
| 1336343102 | Avron H Lipschitz | Plastic Surgery | 903 Se Monterey Commons Blvd, Stuart, FL 34996 | 2007-06-13 |
| 1912129214 | Eyewear of Stuart, Inc. | Durable Medical Equipment & Medical Supplies | 2090 S.e. Ocean Blvd, Stuart, FL 34996 | 2007-05-03 |
| Find all providers in zip 34996 | ||||
| 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 |
|---|---|---|---|---|
| 1215567359 | Jennifer Eldridge | Physical Therapist | 504 Sw South River Point Dr, Stuart, FL 34994-7138 | 2020-01-16 |
| 1679113781 | Christopher George Gozdz | Physical Therapist | 2221 Se Ocean Blvd Ste 200, Stuart, FL 34996-3341 | 2020-01-07 |
| 1174094536 | Premier Physical Therapy & Sports Medicine | Physical Therapist | 5054 Se Federal Hwy Ste 10, Stuart, FL 34997-6627 | 2018-12-11 |
| 1922453083 | Orthopaedics Pro Inc | Physical Therapist | 1796 Se Indian St, Stuart, FL 34997-4919 | 2016-04-26 |
| 1407256449 | Advanced Physical Therapy and Sports Medicine Center, Inc. | Physical Therapist | 11003 Sw Hawkview Cir, Stuart, FL 34997-2715 | 2014-08-27 |
| 1902152259 | Kathleen Marie Snow | Physical Therapist | 2789 Sw Riviera Rd, Stuart, FL 34997-1219 | 2012-07-24 |
| 1336473818 | Alexandra W Brown | Physical Therapist | 3610 Se Federal Hwy Ste 5, Stuart, FL 34997-4905 | 2009-09-30 |
| 1316181001 | Martine Summerset | Physical Therapist | 3285 Sw Porpoise Cir, Stuart, FL 34997-8914 | 2009-04-24 |
| 1770770471 | Joanne Bury | Physical Therapist | 1593 Nw Spruce Ridge Dr, Stuart, FL 34994-9525 | 2007-09-27 |
| 1497967434 | Heather Shepard | Physical Therapist | 3400 Se Aster Ln, Stuart, FL 34994-5516 | 2007-05-03 |
| Find all providers in STUART | ||||
Please comment or provide details below to improve the information on PREMIER PHYSICAL THERAPY AND 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.