Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elder Athlete Physical Therapy PLLC

Organization Physical Therapist · NPI 1841944519

Elder Athlete Physical Therapy PLLC is a Physical Therapist in St Petersburg, Florida. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

490 1st Ave S Ste 220
St Petersburg, FL 33701-4287
Phone: (727) 380-4887
Fax: (727) 290-4328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 4th Ave S Apt 106, St Petersburg, FL 33701-4621 — (727) 380-4887

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1841944519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lucie Stagg — Owner · (727) 380-4887
NPI enumeratedFebruary 10, 2022
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing address400 4th Ave S Apt 106, St Petersburg, FL 33701-4621

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