Premiere Physical Therapy & Sport Rehabilitation in Springfield - Physical Therapist
Premiere Physical Therapy & Sport Rehabilitation - NPI 1477660629
Premiere Physical Therapy & Sport Rehabilitation is a Physical Therapist in Springfield, Illinois. Premiere Physical Therapy & Sport Rehabilitation practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Premiere Physical Therapy & Sport Rehabilitation is 1477660629. The last update date is 2009-09-30.
Premiere Physical Therapy & Sport Rehabilitation's current location address is 320 E Carpenter St Ste 1b, Springfield, Illinois. You can contact this provider via phone number 2177448000 and fax number 2177448004. The mailing address for Premiere Physical Therapy & Sport Rehabilitation is 320 E Carpenter St Ste 1b, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premiere Physical Therapy & Sport Rehabilitation |
|---|---|
| Address | 320 E Carpenter St Ste 1b, Springfield, Illinois |
| Phone Number | 2177448000 |
| Fax Number | 2177448004 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PT/CEO |
|---|---|
| Authorized Official Name | Woodard A John |
| Telephone Number | 2177448000 |
NPI Number Detail
| NPI Number | 1477660629 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2009-09-30 |
Provider Mailing Address Detail
| Address | 320 E Carpenter St Ste 1b |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627025165 |
| Phone Number | 2177448000 |
| Fax Number | 2177448004 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8421396 | IL | BCBS GROUP |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Premiere Physical Therapy & Sport Rehabilitation by the Centers for Medicare & Medicaid Services?
The Premiere Physical Therapy & Sport Rehabilitation has been assigned the NPI (National Provider Identifier) 1477660629 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Premiere Physical Therapy & Sport Rehabilitation is located?
The Premiere Physical Therapy & Sport Rehabilitation is situated at the following address: 320 E Carpenter St Ste 1B, Springfield, IL, 627025165.
What is Premiere Physical Therapy & Sport Rehabilitation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Premiere Physical Therapy & Sport Rehabilitation is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date was the 1477660629 assigned to Premiere Physical Therapy & Sport Rehabilitation?
The Premiere Physical Therapy & Sport Rehabilitation was issued its 1477660629 on 2006-08-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Premiere Physical Therapy & Sport Rehabilitation, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Premiere Physical Therapy & Sport Rehabilitation, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-09-30.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY