PREMIER PHYSICAL THERAPY SPORT MEDICINE INC – Physical Therapist, NPI 1649380064
Physical Therapist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PREMIER PHYSICAL THERAPY SPORT MEDICINE INC
PO BOX 8600
PORT ST LUCIE, FL 34985
Phone: (772) 335-7966
Fax: (772) 335-7963
Type: Mailing
Northwest Lake Whitney Place, Port Saint Lucie, Saint Lucie County, Florida, 34986, United States
SUITE 101
PORT ST LUCIE, FL 349861621
Phone: (772) 621-9313
Fax: (772) 621-9358
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-03-18
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34985)
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