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

Premiere Physical Therapy

Organization Physical Therapist · NPI 1831016708

Premiere Physical Therapy is a Physical Therapist in Miami, Florida. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1005 NW 79th St Ste 104
Miami, FL 33150-3141
Phone: (305) 756-9947
Fax: (305) 756-9948
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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 number1831016708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roosevelt Moore — Manager · (305) 968-5622
NPI enumeratedJuly 1, 2026
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address1005 Nw 79th St Ste 104, Miami, FL 33150-3141

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