Premier Orthopaedic and Sports Medicine

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PREMIER ORTHOPAEDIC AND SPORTS MEDICINE

Practice address

931 E Haverford Rd
Suite 201
Bryn Mawr, PA 19010-3838

Phone

(610) 527-7870

NPI assigned

Mar 28, 2013

Last updated

Jan 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darlene Buddy

Title

Credentialing Coordinator

Phone

(610) 359-5671

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1104169143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 E HAVERFORD RD",
            "address_2": "SUITE 201",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103838",
            "telephone_number": "610-527-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E HAVERFORD RD",
            "address_2": "SUITE 201",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103838",
            "telephone_number": "610-527-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPAEDIC AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "BUDDY",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "610-359-5671"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Poulos-Hopkins
• Constance Gardner Powers
• Meghan Renee Prato, PSY.D.
• Robert Earl Pratt Jr., D.ABNM
• Danica Pratta, DPM
• Premier Orthopaedic and Sports Medicine Assoc LTD
• Premier Orthopaedic and Sports Medicine Associates, LTD
• Trevor Robert Pryce Price, MD
• Primal Physical Therapy ,LLC
• David S. Prince, M.D.

• Physical Therapist in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.