Premium Therapeutics

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

Legal business name

PREMIUM THERAPEUTICS

Practice address

179 Breckenridge Dr
Sicklerville, NJ 08081-3240

Phone

(347) 526-1502

NPI assigned

Feb 10, 2026

Organization subpart

No

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

Authorized official

Name

Stanford Joseph, PTANPI 1912918509

Title

Owner

Phone

(347) 526-1502

Specialties & licenses 1

Addresses

Practitioners 1

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

• Stanford Joseph, PTA

  • Physical Therapy Assistant
  • Bronx, NY
  • NPI 1912918509
  NPD Authorized official

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1114879558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 BRECKENRIDGE DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080813240",
            "telephone_number": "347-526-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 BRECKENRIDGE DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080813240",
            "telephone_number": "347-526-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "STANFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-526-1502",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jordan Pratt, M.S., CCC-SLP
• Toni Pratt
• Premiaer Care Medical Transport
• Premier Care Medical Transport LLC
• Premier Surgical Assistant,LLC
• Rochelle Prevard, FNP-C
• Mark D. Price, RPH, CCP
• Professional Community Support Services
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC

• Physical Rehabilitation Occupational Therapist in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• Physical Rehabilitation Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.