Summit Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SUMMIT PHYSICAL THERAPY, PLLC

Practice address

91 Branscomb Rd Ste 15
Green Cove Springs, FL 32043-7222

Phone

(904) 644-7722

Fax

(904) 637-1532

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

No

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tara Reeves Vollertsen, DPT

  • Physical Therapist
  • Middleburg, FL
  • NPI 1144363680
  Authorized official Same address or phone

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1750285771",
    "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": "91 BRANSCOMB RD STE 15",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320437222",
            "telephone_number": "904-644-7722",
            "fax_number": "904-637-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Stewart, M.A.
• April Rae Stone, D.M.D.
• Edmund Deforest Sugzdinis I, HEARING INSTRUMENT S
• Staci Lorenzo Suits
• Summit Physical Therapy, PLLC
• 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 Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.