Premier Physical Therapy, Llc in Woodville - Physical Therapist
Premier Physical Therapy, Llc - NPI 1053523209
Premier Physical Therapy, Llc is a Physical Therapist in Woodville, Mississippi. Premier Physical Therapy, Llc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Premier Physical Therapy, Llc is 1053523209. The last update date is 2023-08-11.
Premier Physical Therapy, Llc's current location address is 558 1st South St, Woodville, Mississippi. You can contact this provider via phone number 6018887944 and fax number 6018887687. The mailing address for Premier Physical Therapy, Llc is 558 1st South St, Woodville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premier Physical Therapy, Llc |
|---|---|
| Address | 558 1st South St, Woodville, Mississippi |
| Phone Number | 6018887944 |
| Fax Number | 6018887687 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Johnson Russell Gary |
| Credentials | PT |
| Telephone Number | 6018887944 |
NPI Number Detail
| NPI Number | 1053523209 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2023-08-11 |
Provider Mailing Address Detail
| Address | 558 1st South St |
|---|---|
| City | Woodville |
| State | Mississippi (MS) |
| Post Code | 396693777 |
| Phone Number | 6018887944 |
| Fax Number | 6018887687 |
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 |
|---|---|---|---|
| 9016186 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Premier Physical Therapy, Llc by the Centers for Medicare & Medicaid Services?
The Premier Physical Therapy, Llc has been issued the NPI (National Provider Identifier) 1053523209, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Premier Physical Therapy, Llc is geographically located?
The Premier Physical Therapy, Llc is physically situated at the following location: 558 1St South St, Woodville, MS, 396693777.
What is the Premier Physical Therapy, Llc's area of specialization and corresponding taxonomy classification?
The Premier Physical Therapy, Llc's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
On what date did Premier Physical Therapy, Llc receive its 1053523209 assignment from the Centers for Medicare & Medicaid Services?
The Premier Physical Therapy, Llc was assigned its 1053523209 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Premier Physical Therapy, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Premier Physical Therapy, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-08-11.