Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Premiere Physical Therapy

Organization Physical Therapist · NPI 1831016708

Premiere Physical Therapy provides Physical Therapist services 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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