Physical TherapyIndex

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Physical therapy clinic in Port St Lucie, FL

Registered provider

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Public-record details

Address
500 Nw Peacock Blvd Ste 103&104, Port St Lucie, FL 34986
Phone
(407) 489-5614
Listed under
Physical therapy clinics
NPI
1407730914
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Clinic/Center, Physical Therapy (261QP2000X)
Authorized official
Graziella Mora, LAT, ATC, Owner
NPI first issued
Aug 5, 2025
Years since NPI first issued
1 year (since 2025)
NPI record last updated
Aug 5, 2025
Listings under this organization name (nationwide)
1 (single location)

NPI 1407730914 is active in the federal NPPES registry (CMS) with Clinic/Center, Physical Therapy as its self-reported primary taxonomy. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Physical Therapy Index does not vet, employ, recommend or guarantee physical therapy clinics; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Physical Therapy Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Physical therapy is provided by licensed physical therapists (PT, DPT) and, under their supervision, physical therapist assistants (PTA). Confirm each therapist's license with the state physical therapy board.

View NPI 1407730914 in the official registry ↗

Registered specialty is not a license check. Confirm the therapist's license with the state physical therapy board (FSBPT lists every board). Ask about referral rules for your plan, Medicare acceptance, visit length and who provides your care.

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