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

Back in Action, Saint Lucie Physical Therapy LLC

Organization Physical Therapist · NPI 1407005812

Back in Action, Saint Lucie Physical Therapy LLC provides Physical Therapist services in Port Saint Lucie, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

266 NW Peacock Blvd Bldg 2 Ste 2-204
Port Saint Lucie, FL 34986-2271 Not confirmed with CMS for 17 years — call before visiting
Phone: (772) 408-6630
Fax: (772) 408-6750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT20821 (FL)

Record details

NPI number1407005812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Documento — Owner · (772) 408-6630
Other names Back In Action
NPI enumeratedSeptember 10, 2008
Last updated in NPPESApril 24, 2009
Mailing addressPo Box 7666, Port Saint Lucie, FL 34985-7666

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