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

Premier Physical Therapy Sport Medicine Inc

Organization Physical Therapist · NPI 1417067844

Premier Physical Therapy Sport Medicine Inc provides Physical Therapist services 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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