Premier Orthopaedic and Sports Medicine Associates, LTD

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD

Practice address

One Medical Center Blvd
CCMC Prof Office BLDG II Ste 320
Upland, PA 19013

Phone

(610) 874-9710

NPI assigned

May 25, 2010

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) 359-6571

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1144549536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5228",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193800405",
            "telephone_number": "610-359-6571",
            "fax_number": "610-359-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD",
            "address_2": "CCMC PROF OFFICE BLDG II STE 320",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-874-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "BUDDY",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "610-359-6571"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aashay Navin Patel, M.D.
• Janisha Patel, DO
• Kirankumar Patel
• Pediatric Associates
• Christine Powel, CRNP
• Premier Orthopaedics and Sports Medicine
• Pulmonary Consultants Inc.
• Michelle Raeuber, PA
• Gurleen Kaur Rai, M.D.
• Meena Raman, MD

• Physical Therapist in Upland, PA
• Providers in Upland, 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.