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

Premier Physical Therapy Sport Medicine Inc

Organization Physical Therapist · NPI 1417067844

Premier Physical Therapy Sport Medicine Inc is a Physical Therapist in Port St Lucie, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 SE Goldtree Dr Ste 205
Port St Lucie, FL 34952-7582
Phone: (772) 335-7966
Fax: (772) 335-7963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1417067844
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Tucker — Executive Director · (772) 335-7966
NPI enumeratedAugust 30, 2006
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020
Mailing addressPo Box 8600, Port St Lucie, FL 34985

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