Premier Physical Therapy Sport Medicine Inc
NPI 1649380064 · Physical Therapist · Port St Lucie, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Physical Therapy Sport Medicine Inc is a Physical Therapist organization in Port St Lucie, FL (NPI 1649380064).
Provider details
- NPI number
- 1649380064
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Tucker, Executive Director(772) 335-7966
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
19 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
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2020-02-19
- Certified
- 2020-02-19
Frequently asked questions
- What is Premier Physical Therapy Sport Medicine Inc's NPI number?
- Premier Physical Therapy Sport Medicine Inc's National Provider Identifier (NPI) is 1649380064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Physical Therapy Sport Medicine Inc?
- Premier Physical Therapy Sport Medicine Inc is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Premier Physical Therapy Sport Medicine Inc located?
- Premier Physical Therapy Sport Medicine Inc's practice location on file with NPPES is 519 Nw Lake Whitney Pl, Port St Lucie, FL 34986-1621.
- What is Premier Physical Therapy Sport Medicine Inc's phone number?
- The practice phone number listed in the NPPES registry for Premier Physical Therapy Sport Medicine Inc is (772) 621-9313.
- Does Premier Physical Therapy Sport Medicine Inc accept Medicare?
- Premier Physical Therapy Sport Medicine Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Premier Physical Therapy Sport Medicine Inc?
- The authorized official listed on Premier Physical Therapy Sport Medicine Inc's NPPES record is Jeffrey Tucker, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Physical Therapy Sport Medicine Inc's NPI active?
- Yes — Premier Physical Therapy Sport Medicine Inc's NPI (1649380064) is active in the NPPES registry as of the last update on 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.