Premier Braces

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

602329359 Issued in WA

Legal business name

PREMIER BRACES

Practice address

1366 Bridge St
Clarkston, WA 99403-2332

Phone

(509) 751-1780

Fax

(509) 751-8771

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Rodney D. Scrimsher, PT

Title

President

Phone

(509) 751-1780

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1104029743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 QUAILWOOD CT",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994031749",
            "telephone_number": "509-751-1780",
            "fax_number": "509-751-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 BRIDGE ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032332",
            "telephone_number": "509-751-1780",
            "fax_number": "509-751-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "SCRIMSHER",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-751-1780",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "602329359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Elise Pierce, LMP
• Sheila Pilkington, RPH
• Sarah Marie Power, M.S., CCC-SLP
• PPM Washington LLC
• Premere Rehab, LLC
• Gail A Price, M. ED
• Chelsey Puhl
• Sirjana Pun
• Jiahui Qi
• Quality Behavioral Health

• Durable Medical Equipment & Medical Supplies in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.