Premier Therapy Services

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

46TR00669800 Issued in NJ

Legal business name

PREMIER THERAPY SERVICES

Practice address

5 Boroline Rd
Saddle River, NJ 07458-2343

Phone

(201) 818-8680

NPI assigned

Apr 1, 2015

Organization subpart

Yes

Parent organization

REVERA INC.As reported in NPPES

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

Authorized official

Name

Isao Kitaguchi, OTR

Title

Occupational Therapist

Phone

(201) 681-2581

Specialties & licenses 1

Addresses

Part of

Premier Therapy Services LLC

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1124413505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BOROLINE RD",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582343",
            "telephone_number": "201-818-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BOROLINE RD",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582343",
            "telephone_number": "201-818-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER THERAPY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REVERA INC.",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "KITAGUCHI",
        "authorized_official_first_name": "ISAO",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "201-681-2581",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NJ",
            "license": "46TR00669800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in Saddle River, NJ
• Providers in Saddle River, NJ by specialty
• Physical Disabilities Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.