Summit Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SUMMIT PHYSICAL THERAPY, PLLC

Practice address

2140 Kingsley Ave Ste 11
Orange Park, FL 32073-5129

Phone

(904) 592-1036

Fax

(904) 637-1532

NPI assigned

Feb 28, 2024

Organization subpart

Yes

Parent organization

SUMMIT PHYSICAL THERAPYAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tara Reeves Vollertsen, PTNPI 1144363680

Title

Owner

Phone

(904) 644-7722

Specialties & licenses 1

Addresses

Tax ID family

Summit Physical Therapy PLL5 organizations share this tax ID, including this one

Part of

Summit Physical Therapy PLL

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Summit Physical Therapy, PLLC

  • Physical Therapist
  • Orange Park, FL
  • NPI 1225817695
  NPD tax ID
• Summit Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Green Cove Springs, FL
  • NPI 1508548371
  NPD tax ID
• Summit Physical Therapy, PLLC

  • Physical Therapist
  • Middleburg, FL
  • NPI 1992348569
  NPD tax ID
• Summit Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Middleburg, FL
  • NPI 1992505945
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Reeves Vollertsen, DPT

  • Physical Therapist
  • Middleburg, FL
  • NPI 1144363680
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1295591022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 COUNTY ROAD 220 STE 304",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320687778",
            "telephone_number": "904-644-7722",
            "fax_number": "904-637-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 KINGSLEY AVE STE 11",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735129",
            "telephone_number": "904-592-1036",
            "fax_number": "904-637-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT PHYSICAL THERAPY",
        "enumeration_date": "2024-02-28",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "VOLLERTSEN",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "REEVES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-644-7722",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Lauren Sullivan-Stewart, MA
• Summerlin Imaging Center LLC
• Sydney Summers
• Summit Emergency Physicians, LLC
• Summit Physical Therapy, PLLC
• Sunshine State Anesthesia Partners LLC
• Sunshine Vital Transport LLC
• Jaerine Roa Superales
• Surgcenter of Orange Park, LLC
• Gerry Surrency, PMHNP-BC, ARNP

• Physical Therapist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.