Back in Action, Saint Lucie Physical Therapy LLC
NPI 1407005812 · Physical Therapist · Port Saint Lucie, FL
Back in Action, Saint Lucie Physical Therapy LLC is a Physical Therapist organization in Port Saint Lucie, FL (NPI 1407005812).
Provider details
- NPI number
- 1407005812
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Mark Documento, Owner(772) 408-6630
- License
- PT20821 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Other names (DBA / former)
- Doing business as
- Back in Action
Registry dates
- Enumerated
- 2008-09-10
- Last updated
- 2009-04-24
Frequently asked questions
- What is Back in Action, Saint Lucie Physical Therapy LLC's NPI number?
- Back in Action, Saint Lucie Physical Therapy LLC's National Provider Identifier (NPI) is 1407005812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Back in Action, Saint Lucie Physical Therapy LLC?
- Back in Action, Saint Lucie Physical Therapy LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Back in Action, Saint Lucie Physical Therapy LLC located?
- Back in Action, Saint Lucie Physical Therapy LLC's practice location on file with NPPES is 266 Nw Peacock Blvd, Port Saint Lucie, FL 34986-2271.
- What is Back in Action, Saint Lucie Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Back in Action, Saint Lucie Physical Therapy LLC is (772) 408-6630.
- Who is the authorized official for Back in Action, Saint Lucie Physical Therapy LLC?
- The authorized official listed on Back in Action, Saint Lucie Physical Therapy LLC's NPPES record is Mark Documento, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Back in Action, Saint Lucie Physical Therapy LLC's NPI active?
- Yes — Back in Action, Saint Lucie Physical Therapy LLC's NPI (1407005812) is active in the NPPES registry as of the last update on 2009-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.