Physical Therapist
BACK IN ACTION, SAINT LUCIE PHYSICAL THERAPY LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1407005812 · enumerated 2008-09-10 · record updated 2009-04-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. MARK DOCUMENTO, Owner · (772) 408-6630
Other names: BACK IN ACTION
Addresses and phones
- Mailing address PO BOX 7666, PORT SAINT LUCIE, FL, 34985-7666 (772) 408-6630 Fax (772) 408-6750 Google Maps Apple Maps OpenStreetMap
- Practice location 266 NW PEACOCK BLVD, BUILDING 2 SUITE 2-204, PORT SAINT LUCIE, FL, 34986-2271 (772) 408-6630 Fax (772) 408-6750 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary · License pt20821 FL
In this directory
Locations and evidence
-
Practice location
PORT SAINT LUCIE, FL, 349862271
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.