OrganizationActive
Physical Therapy Wellness Group
NPI 1023677630 · Clinic/Center · Port Saint Lucie, FL
Provider details
- NPI number
- 1023677630
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sperancia White, Physical Therapist/Owner(772) 209-1183
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
519 Sw Nagle Place
Port Saint Lucie, FL 34953
Phone: (772) 209-1183
Street-level locationGet directions
Mailing address
10380 Sw Village Center Dr # 355
Port Saint Lucie, FL 34987-1931
Registry dates
- Enumerated
- 2019-06-07
- Last updated
- 2020-05-23
- Certified
- 2020-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.