OrganizationActive
Thera Way Inc.
NPI 1740463116 · Physical Therapist · Port St Lucie, FL
Provider details
- NPI number
- 1740463116
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Mark Documento, Administrative Director(772) 240-5527
- License
- PT20821 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Home Health Agency251E00000X
Agencies
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
443 Se Nome Dr
Port St Lucie, FL 34984-8902
Phone: (772) 240-5527
Fax: (772) 344-4851
Street-level locationGet directions
Mailing address
443 Se Nome Dr
Port Saint Lucie, FL 34984-8902
Registry dates
- Enumerated
- 2007-12-09
- Last updated
- 2008-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.