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Back in Action, Saint Lucie Physical Therapy LLC

Physical Therapist in Port Saint Lucie, FL · enumerated 2008 · authorized official Mark Documento, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407005812

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Registry record

Entity type Organization (Type 2)
Legal business name Back in Action, Saint Lucie Physical Therapy LLC
Other name <Unavail>
Practice address 266 Nw Peacock Blvd, Building 2 Suite 2-204, Port Saint Lucie, FL, 34986
Phone (772) 408-6630
Fax (772) 408-6750
Enumeration date Sep 10, 2008
Last updated in NPPES Apr 24, 2009

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT20821 (FL) Primary

Authorized official

Name Mark Documento
Title Owner
Phone (772) 408-6630

Other identifiers

Identifier Type State Issuer
BK845 Other FL PROVIDER TRANSACTION ACCESS NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Back in Action, Saint Lucie Physical Therapy LLC located?
The practice location on file with NPPES is in Port Saint Lucie, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-04-24. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-04-24.