Premier Physical Therapy Sport Medicine Inc
LBN: Premier Physical Therapy Sport Medicine Inc
Premier Physical Therapy Sport Medicine Inc is an health care organization with primary practice located at 1400 Se Goldtree Dr Ste 205, Port St Lucie FL 34952-7582. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Premier Physical Therapy Sport Medicine Inc can be contacted via phone (772) 335-7966, or through Tucker, Jeffrey Alan via phone (772) 335-7966.
Contact Information
Primary practice address
1400 Se Goldtree Dr Ste 205
Port St Lucie FL 34952-7582
Phone: (772) 335-7966
Fax: (772) 335-7963
Website:
Authorized official contact:
Name: Tucker, Jeffrey Alan Master of Physical Therapy (MPT)
Phone: (772) 335-7966
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1417067844 |
|---|---|
| LBN Legal business name | Premier Physical Therapy Sport Medicine Inc |
| DBA Doing business as | |
| Authorized official | Tucker, Jeffrey Alan Master of Physical Therapy (MPT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Feb 19th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417067844 | NPPES |
| Florida | Other | 650023083 | RAILROAD MEDICARE |
| Florida | Other | CK5189 | RAILROAD MEDICARE |
| Florida | Other | Y903W | RAILROAD MEDICARE |
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