Premiere Physical Therapy & Sports Injury Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PREMIERE PHYSICAL THERAPY & SPORTS INJURY REHABILITATION LLC

Practice address

2901 Old Jacksonville Rd Ste C
Springfield, IL 62704-7437

Phone

(217) 793-0000

NPI assigned

Oct 5, 2009

Organization subpart

No

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

Authorized official

Name

John WoodardNPI 1396856779

Title

Ceo/Physical Therapist

Phone

(217) 744-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Aaron Woodard, PT

  • Physical Therapist
  • Venice, FL
  • NPI 1396856779
  NPD Authorized official

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1053646398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 OLD JACKSONVILLE RD STE C",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047437",
            "telephone_number": "217-793-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 OLD JACKSONVILLE RD STE C",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047437",
            "telephone_number": "217-793-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE PHYSICAL THERAPY & SPORTS INJURY REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "217-744-8000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8421396",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sidarrth Prasad, MBBS
• Sudha G Prasad, M.D.C.S.
• Christina Prefountain, RNFA
• Premier Vision Center LLC
• Premiere Physical Therapy & Sport Rehabilitation
• Jessi R. Prentice, FNP-BC
• Scott E. Preusen, M.D.
• Kirk Alex Price, DC
• Lindsay Price, PT
• Jerry Priddy, PA-C

• Physical Therapist in Springfield, IL
• Providers in Springfield, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.