| Premier Physical Therapy Sport Medicine Inc | |
|
1400 Se Goldtree Dr, Ste 205, Port St Lucie, FL 34952-7582 | |
| (772) 335-7966 | |
| (772) 335-7963 |
| Full Name | Premier Physical Therapy Sport Medicine Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1400 Se Goldtree Dr, Port St Lucie, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417067844 | NPI | - | NPPES |
| 650023083 | Other | FL | RAILROAD MEDICARE |
| CK5189 | Other | FL | RAILROAD MEDICARE PTAN |
| Y903W | Other | FL | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Physical Therapy Sport Medicine Inc Po Box 8600, Port St Lucie, FL 34985 Ph: (772) 335-7966 | Premier Physical Therapy Sport Medicine Inc 1400 Se Goldtree Dr, Ste 205, Port St Lucie, FL 34952-7582 Ph: (772) 335-7966 |
Elaine M Anderson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2485 Se Sidonia St, Port St Lucie, FL 34952 Phone: 772-337-2226 | |
Mrs. Lisette Longo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9077 S Federal Hwy, Port St Lucie, FL 34952 Phone: 772-335-4770 Fax: 772-335-4133 | |
Paul Phillip Burgener, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 156 Nw California Blvd, Port St Lucie, FL 34986 Phone: 772-871-7170 | |
Ms. Jody Rochelle Martin, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1867 Sw Jamesport Dr, Port St Lucie, FL 34953 Phone: 917-892-5187 | |
Tatiana C Madonia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2042 Sw Providence Pl, Port St Lucie, FL 34953 Phone: 305-778-0516 | |
Alexander's Healing Hands, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 479 Nw Prima Vista Blvd, Suite A, Port St Lucie, FL 34983 Phone: 772-408-4848 Fax: 772-408-0978 | |
Mr. Edward Jacobo Morone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1680 Se Lyngate Dr Ste 203, Port St Lucie, FL 34952 Phone: 772-773-7055 |