OrganizationActive
Psl Ortho Spine Corp
NPI 1154040640 · Orthopaedic Surgery Physician · Port St Lucie, FL
Provider details
- NPI number
- 1154040640
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Beatty, Practice Manager(772) 262-0852
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
266 Nw Peacock Blvd Ste 204
Port St Lucie, FL 34986-2271
Phone: (772) 262-0852
Fax: (772) 245-4235
Street-level locationGet directions
Mailing address
266 Nw Peacock Blvd Ste 204
Port St Lucie, FL 34986-2271
Other names (DBA / former)
- Doing business as
- Apex Ortho Spine
Registry dates
- Enumerated
- 2022-08-26
- Last updated
- 2023-05-11
- Certified
- 2023-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.