Premier Physical Therapy Sport Medicine Inc - Medicare Physical Therapist in Port St Lucie, FL

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Premier Physical Therapy Sport Medicine Inc is a medicare enrolled "Physical Therapist" provider in Port St Lucie, Florida. Their current practice location is 519 Nw Lake Whitney Pl, Suite 101, Port St Lucie, Florida. You can reach out to their office (for appointments etc.) via phone at (772) 621-9313.

Premier Physical Therapy Sport Medicine Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Premier Physical Therapy Sport Medicine Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1649380064.

Contact Information

Premier Physical Therapy Sport Medicine Inc
519 Nw Lake Whitney Pl, Suite 101,
Port St Lucie, FL 34986-1621
(772) 621-9313
(772) 621-9358

Map and Direction




Healthcare Provider's Profile

Full NamePremier Physical Therapy Sport Medicine Inc
TypeFacility
SpecialityPhysical Therapist
Location519 Nw Lake Whitney Pl, Port St Lucie, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649380064
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 02/19/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3173413549
  • Enrollment ID: O20040318000876

Medical Identifiers

Medical identifiers for Premier Physical Therapy Sport Medicine Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649380064NPI-NPPES
CK5189OtherFLRAILROAD MEDICARE PTAN
Y905BOtherFLBCBS PROVIDER NUMBER
650023083OtherFLRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Premier Physical Therapy Sport Medicine Inc acts as a billing entity for following providers:
Provider NamePatrick A Baden
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144268632
PECOS PAC ID: 1557344462
Enrollment ID: I20040611000093
Provider NameLourdes M Delvalle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083703888
PECOS PAC ID: 8820063738
Enrollment ID: I20040901001248
Provider NameMark Ortmann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689744203
PECOS PAC ID: 8820047293
Enrollment ID: I20050114000010
Provider NameTed Ryan Landgraf
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285857904
PECOS PAC ID: 1850478108
Enrollment ID: I20080410000424
Provider NameJames E Newton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619193901
PECOS PAC ID: 0042383689
Enrollment ID: I20080715000864
Provider NameJeffrey A Tucker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982725230
PECOS PAC ID: 5597655969
Enrollment ID: I20090416000488
Provider NameKatherine Scholl
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588822126
PECOS PAC ID: 1456485507
Enrollment ID: I20100811001049
Provider NameKelly R Hadley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962722777
PECOS PAC ID: 0648304626
Enrollment ID: I20100812000418
Provider NameCrystal L Sauer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629380902
PECOS PAC ID: 0345366753
Enrollment ID: I20100922001240
Provider NameAngela Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841592136
PECOS PAC ID: 7517156466
Enrollment ID: I20110107000961
Provider NameAnne Kathleen Rothenbach
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316251309
PECOS PAC ID: 4880882109
Enrollment ID: I20120423000389
Provider NameJeanna Hill
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033498720
PECOS PAC ID: 3476718719
Enrollment ID: I20120711000399
Provider NameAnne M Jackson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669640017
PECOS PAC ID: 8729157201
Enrollment ID: I20121119000007
Provider NameJames Dunker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184773392
PECOS PAC ID: 1850602707
Enrollment ID: I20150618000654
Provider NameCaleb A Scholl
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851833552
PECOS PAC ID: 4587945274
Enrollment ID: I20170112000541
Provider NameHarshal Vora
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730625971
PECOS PAC ID: 6204104904
Enrollment ID: I20170621003044
Provider NameCatherine L Howard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053668103
PECOS PAC ID: 7517116072
Enrollment ID: I20180228000793
Provider NameJoshua Simons
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083108823
PECOS PAC ID: 7113279761
Enrollment ID: I20181009001592
Provider NameJustin Spooner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134134836
PECOS PAC ID: 9739343781
Enrollment ID: I20190920000972
Provider NameKelly A Molina
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952736373
PECOS PAC ID: 6901037977
Enrollment ID: I20190920001306
Provider NameRyan Justice
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134759202
PECOS PAC ID: 6901232792
Enrollment ID: I20200217000095
Provider NameErica Nicole Ricchiuti
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528545316
PECOS PAC ID: 9335499748
Enrollment ID: I20210218001071
Provider NameCory Hutchins
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740874601
PECOS PAC ID: 8224445432
Enrollment ID: I20210405001516
Provider NameBrianna Niquette
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922475383
PECOS PAC ID: 2961810999
Enrollment ID: I20210413000084
Provider NameRaquel Silva
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417270224
PECOS PAC ID: 8426186842
Enrollment ID: I20210616000542
Provider NameMatthew Wolfe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528735479
PECOS PAC ID: 2668878950
Enrollment ID: I20210913001206
Provider NameAlec Michael Spano
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003420332
PECOS PAC ID: 2567860257
Enrollment ID: I20211011001800
Provider NameCaleb Duke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194477323
PECOS PAC ID: 0941693923
Enrollment ID: I20220216000199
Provider NameKyle Wagner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427709492
PECOS PAC ID: 2365836657
Enrollment ID: I20220302002555
Provider NameSummer S Forbes
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1932848710
PECOS PAC ID: 5092194241
Enrollment ID: I20220620000922
Provider NameChristopher Guiang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316545767
PECOS PAC ID: 0143630830
Enrollment ID: I20221010001151
Provider NameErica Hans
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558934869
PECOS PAC ID: 2668848516
Enrollment ID: I20221018000243
Provider NameRonald W Simon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245387000
PECOS PAC ID: 8325128101
Enrollment ID: I20221201001822
Provider NameAmaury Marquez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891144713
PECOS PAC ID: 5890166474
Enrollment ID: I20230118000784
Provider NameDanielle Agahan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295434926
PECOS PAC ID: 3577938448
Enrollment ID: I20230406000269
Provider NameClayton Meiron
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770243537
PECOS PAC ID: 9133584238
Enrollment ID: I20230425000706
Provider NameAyanna Pearce
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073160511
PECOS PAC ID: 2860811528
Enrollment ID: I20230614002476
Provider NameMorgan Rhodes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477237519
PECOS PAC ID: 3274994173
Enrollment ID: I20230725001015
Provider NameMackenzie Meyer
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1023750973
PECOS PAC ID: 5395106686
Enrollment ID: I20230802004200
Provider NameAshley R Heffernan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558979336
PECOS PAC ID: 5991116006
Enrollment ID: I20230817000600
Provider NameTiffany Grigsby
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245912526
PECOS PAC ID: 8426411083
Enrollment ID: I20230829004300
Provider NameMorgan Mcdonald
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639851769
PECOS PAC ID: 6305209768
Enrollment ID: I20230831004714
Provider NameAnja Penly
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699456731
PECOS PAC ID: 1456715804
Enrollment ID: I20230918004140
Provider NameMarissa Ricci
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801578356
PECOS PAC ID: 9032563903
Enrollment ID: I20230926002668
Provider NameDanielle H Boyette
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073846895
PECOS PAC ID: 1153776281
Enrollment ID: I20231010003156
Provider NameStacy Meriwether
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1043929268
PECOS PAC ID: 6204286578
Enrollment ID: I20231228002299
Provider NameBernice Cuscuna
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730253840
PECOS PAC ID: 4587715990
Enrollment ID: I20240104000115
Provider NameBrion Youngs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649970856
PECOS PAC ID: 6901258151
Enrollment ID: I20240123004272

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Premier Physical Therapy Sport Medicine Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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
519 Nw Lake Whitney Pl, Suite 101,
Port St Lucie, FL 34986-1621

Ph: (772) 621-9313

Reviews and Comments


Physical Therapist in Port St Lucie, FL

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
American Physical Therapy, Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7993 Steeplechase Ct, Port St Lucie, FL 34986
Phone: 863-801-1925    Fax: 801-881-8827

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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