Summit Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SUMMIT PHYSICAL THERAPY, PLLC

Practice address

1305 N Orange Ave Ste 118
Green Cove Springs, FL 32043-2553

Phone

(904) 531-5500

Fax

(904) 637-1532

NPI assigned

Aug 2, 2023

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 VollertsenNPI 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 Therapist
  • Orange Park, FL
  • NPI 1295591022
  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": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1508548371",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N ORANGE AVE STE 118",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320432553",
            "telephone_number": "904-531-5500",
            "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": "2023-08-02",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Mae Lynn Steward, RBT
• Kristina Stewart, M.A.
• April Rae Stone, D.M.D.
• Edmund Deforest Sugzdinis I, HEARING INSTRUMENT S
• Staci Lorenzo Suits
• Superior Transit LLC
• Matthew Richard Swanhart, LCSW
• Dominique Emerald Sweeting, DNP, DBA, MSN, RN
• Telakai Health PA
• Earl Terrell

• Physical Therapy Clinic/Center in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• Physical Therapy Clinic/Center 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.