OrganizationActive
Premier Physical Therapy & Sports Medicine
NPI 1205347804 · Physical Therapist · Palm City, FL
Provider details
- NPI number
- 1205347804
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Premier Physical Therapy & Sports Medicine
- Organization subpart
- Yes
- Authorized official
- Jeffrey Tucker, Executive Director(772) 335-7966
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
3660 Sw 30th Ave
Palm City, FL 34990-3700
Phone: (772) 335-7966
Street-level locationGet directions
Mailing address
Po Box 8600
Port Saint Lucie, FL 34985-8600
Registry dates
- Enumerated
- 2017-10-23
- Last updated
- 2020-02-19
- Certified
- 2020-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.