Premier Strategies LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31000293A Issued in IN

Legal business name

PREMIER STRATEGIES LLC

Practice address

10620 Corporate Dr
Ste C
Fort Wayne, IN 46845-1711

Phone

(260) 385-2130

Fax

(260) 818-2044

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle P. Berry, OTRNPI 1942498266

Title

Owner/Provider

Phone

(260) 385-2130

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Michelle P Berry, OTR

  • Occupational Therapist
  • Fort Wayne, IN
  • NPI 1942498266

  Single Specialty

  NPD (past) Authorized official
• Kimberly A Griffith, SLP

  • Speech-Language Pathologist
  • Fort Wayne, IN
  • NPI 1033393079
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1124381041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 CORPORATE DR",
            "address_2": "STE C",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451711",
            "telephone_number": "260-385-2130",
            "fax_number": "260-818-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 CORPORATE DR",
            "address_2": "STE C",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451711",
            "telephone_number": "260-385-2130",
            "fax_number": "260-818-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER STRATEGIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "260-385-2130",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31000293A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200628720A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.