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

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, DPT

Title

Manager

Phone

(305) 968-5622

Specialties & licenses 1

Addresses

Locations

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
• Premiere Medical Center Inc
• Premise Health of Florida Medical PA
• Premise Health of Florida Medical PA
• Premise Health of Florida Medical PA
• Premise Health of Florida Medical PA
• Premise Health of Florida Medical PA

• 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.