PHYSICAL THERAPY WELLNESS GROUP
NPI 1023677630
Clinic/Center in Port Saint Lucie, FL

Active since June 07, 2019
519 SW NAGLE PLACE, PORT SAINT LUCIE, FL 34953(772) 209-1183 Get Directions Write a Review

NPPES record last updated: May 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 23, 2020, Jun 7, 2019 (2 updates tracked since 2019).

About Physical Therapy Wellness Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICAL THERAPY WELLNESS GROUP (NPI 1023677630) is a healthcare organization registered as a clinic/center in Port Saint Lucie, Florida and active in the NPI registry since June 2019. The organization lists Sperancia Anna White, Physical Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1023677630
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePHYSICAL THERAPY WELLNESS GROUP
Location Address519 SW NAGLE PLACEPort Saint Lucie, FL 34953
Mailing Address10380 Sw Village Center Dr # 355Port Saint Lucie, FL 34987-1931 · (772) 209-1183
Organization SubpartNo
Authorized OfficialSperancia Anna WhitePhysical Therapist/owner · (772) 209-1183
Enumeration DateJune 7, 2019
Last NPPES UpdateMay 23, 20202 updates tracked since enumeration
NPPES CertifiedMay 23, 2020
NPI 1023677630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
519 SW NAGLE PLACE, Port Saint Lucie, FL 34953

Other Identifiers 1

Medicaid261Q00000XFL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physical Therapy Wellness Group's NPI number?

The NPI number for Physical Therapy Wellness Group is 1023677630. It was assigned to this organization in the NPPES registry on June 7, 2019.

Where is Physical Therapy Wellness Group located?

Physical Therapy Wellness Group is located at 519 SW Nagle Place, Port Saint Lucie, FL 34953. The listed phone number is (772) 209-1183.

What is Physical Therapy Wellness Group's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Physical Therapy Wellness Group was last updated on May 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.