Jeffrey Alan Tucker, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 12440 Issued in FL

Practice address

1400 SE Goldtree Dr
Suite 205
Port St Lucie, FL 34952-7582

Phone

(772) 335-7966

Fax

(772) 335-7963

NPI assigned

Apr 3, 2007

Last updated

Feb 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Physical Therapy Sport Medicine IncGroup PAC ID 3173413549, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Physical Therapy Sport Medicine Inc

  • Physical Therapist
  • Port St Lucie, FL
  • NPI 1649380064
  Medicare reassignment Care Compare group NPD Authorized official
• Premier Physical Therapy & Sports Medicine

  • Physical Therapist
  • Jensen Beach, FL
  • NPI 1265724330
  NPD Authorized official
• Premier Physical Therapy & Sports Medicine

  • Physical Therapist
  • Stuart, FL
  • NPI 1174094536
  NPD (past) Authorized official
• Premier Physical Therapy & Sports Medicine

  • Physical Therapist
  • Palm City, FL
  • NPI 1205347804
  NPD (past) Authorized official
• Premier Physical Therapy & Sports Medicine

  • Physical Therapist
  • Stuart, FL
  • NPI 1366113771
  NPD (past) Authorized official
• Premier Physical Therapy & Sports Medicine

  • Physical Therapist
  • Port Saint Lucie, FL
  • NPI 1386274504
  NPD (past) Authorized official
• Premier Physical Therapy & Sports Medicine

  • Physical Therapist
  • Melbourne, FL
  • NPI 1669005559
  NPD (past) Authorized official
• Premier Physical Therapy Sport Medicine Inc

  • Physical Therapist
  • Fort Pierce, FL
  • NPI 1265542682
  NPD (past) Authorized official
• Premier Physical Therapy Sport Medicine Inc

  • Physical Therapist
  • Port St Lucie, FL
  • NPI 1417067844
  Authorized official Same address or phone
• University Rehabilitation, LLC

  dba Premier Physical Therapy and Sports Medicine

  • Physical Therapist
  • Port Orange, FL
  • NPI 1811185291
  Authorized official Same address or phone

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1982725230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SE GOLDTREE DR",
            "address_2": "SUITE 205",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527582",
            "telephone_number": "772-335-7966",
            "fax_number": "772-335-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SE GOLDTREE DR",
            "address_2": "SUITE 205",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527582",
            "telephone_number": "772-335-7966",
            "fax_number": "772-335-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 12440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "650023083",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huong Linda Truong, DMD
• Trustcare Assisted Living LLC
• Trusted Mobile Care, LLC
• Tsa Labs LLC
• TSH Enterprises, LLC
• Robert Tucker
• Timothy Seth Tudor, D.O.
• Tara E Turene
• Kathryn Turgeon, OT
• Kiara Turgeon

• Physical Therapist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.