Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Premier Physical Therapy Sport Medicine Inc

Physical Therapist in Port St Lucie, FL · enumerated 2006 · authorized official Jeffrey Tucker, Executive Director.

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

National Provider Identifier

1417067844

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Registry record

Entity type Organization (Type 2)

Legal business name Premier Physical Therapy Sport Medicine Inc

Practice address 1400 Se Goldtree Dr, Ste 205, Port St Lucie, FL, 34952

Phone (772) 335-7966

Fax (772) 335-7963

Enumeration date Aug 30, 2006

Last updated in NPPES Feb 19, 2020

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Jeffrey Tucker

Title Executive Director

Phone (772) 335-7966

Other identifiers

Identifier	Type	State	Issuer
650023083	Other	FL	RAILROAD MEDICARE
CK5189	Other	FL	RAILROAD MEDICARE PTAN
Y903W	Other	FL	BCBS PROVIDER 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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Premier Physical Therapy Sport Medicine Inc?

Premier Physical Therapy Sport Medicine Inc is registered in NPPES as a Physical Therapist (its primary provider taxonomy).

Providers at this address

Browse all →

Adam Kurtin Surgery Physician · Port St Lucie, FL NPI 1174521595 Rene Loyola Internal Medicine Physician · Port St Lucie, FL NPI 1528066941 Shane Whiteley Chiropractor · Port St Lucie, FL NPI 1003849449 Jeffrey Tucker Physical Therapist · Port St Lucie, FL NPI 1982725230 Total Health Associates, LLC Chiropractor · Port Saint Lucie, FL NPI 1689018681 Regenerative Medical Group Family Medicine Physician · Port Saint Lucie, FL NPI 1578928867 Caleb Scholl Physical Therapist · Port Saint Lucie, FL NPI 1851833552

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-02-19.