CREATIVE SWIM THERAPY NPI 1669123501

NPI Information

  • NPI: 1669123501
  • Provider Name: CREATIVE SWIM THERAPY
  • Classification: Psychologist - 103TE1100X
  • Specialization: Exercise & Sports
  • Entity Type: Organization
  • Address: 307 SW GRIMALDO TER
    PORT SAINT LUCIE, FL
    ZIP 34984
  • Phone: (772) 204-3977

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NPI Details

CREATIVE SWIM THERAPY is an exercise and sports psychologist in Port Saint Lucie, FL. The provider is a psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists. CREATIVE SWIM THERAPY NPI is 1669123501. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

307 SW GRIMALDO TER
PORT SAINT LUCIE, FL
ZIP 34984-360
Phone: (772) 204-3977

The provider's authorized official is Sydney Belle .
The authorized official title is Owner and has the following contact phone number (772) 204-3977.

The enumeration date for this NPI number is 1/12/2022 and was last updated on 1/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TE1100XPsychologistExercise & SportsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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