Premiere Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PREMIERE PHYSICAL THERAPY

Practice address

1005 NW 79TH St Ste 104
Miami, FL 33150-3141

Phone

(305) 756-9947

Fax

(305) 756-9948

NPI assigned

Jul 1, 2026

Last updated

Jul 1, 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

Miss Roosevelt Moore, DPTNPI 1265697304

Title

Manager

Phone

(305) 968-5622

Specialties & licenses 1

Addresses

Locations

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.

• Roosevelt Moore, RPT

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1265697304
  Authorized official Same address or phone

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1831016708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 NW 79TH ST STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331503141",
            "telephone_number": "305-756-9947",
            "fax_number": "305-756-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 NW 79TH ST STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331503141",
            "telephone_number": "305-756-9947",
            "fax_number": "305-756-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROOSEVELT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-968-5622",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Value Family Medicine LLC
• Premier Wellness Medical Center, Inc
• Premier Wound Solutions LLC
• Premiercare Surgery Center of Kendall, LLC (Surgery Center of West Kendall)
• Premiere Medical Center Inc
• Premise Health of Florida Medical PA (Discovery Wellness Center Miami)
• Premise Health of Florida Medical PA (NEE Health And WellBeing)
• Premise Health of Florida Medical PA (Premise Health Clinic)
• Premise Health of Florida Medical PA
• Premise Health of Florida Medical PA (AT&T Health & Wellbeing Center Operated by Premise Health)

• Physical Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.