NPIMap

Organization Active NPI

Premier Rehab Management, LLC

Doing business as PT Solutions

  • Physical Therapist
  • Santa Rosa Beach, FL
National Provider Identifier
1164790630
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PREMIER REHAB MANAGEMENT, LLC
Doing business as
PT Solutions
Practice address
249 Mack Bayou Loop
Ste 101
Santa Rosa Beach, FL 32459-7198
Phone
(678) 932-3629
Fax
(770) 423-3369
NPI assigned
Dec 12, 2011
Last updated
Aug 16, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
PREMIER REHAB MANAGEMENT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Carmen Philpot
Title
Director Revenue Cycle
Phone
(678) 403-3568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

249 Mack Bayou Loop
Ste 101
Santa Rosa Beach, FL 32459-7198

Mailing address

PO Box 441146
Kennesaw, GA 30160-9522
Phone (770) 917-1395

Other names 1

  • PT Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120418000648 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1951586890 Receives reassigned benefits from 26 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Navarre, FL; Santa Rosa Beach, FL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Premier Rehab Management LLC3 organizations share this tax ID, including this one
Part of
Premier Rehab Management LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1164790630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441146",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301609522",
            "telephone_number": "770-917-1395",
            "fax_number": "770-423-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 MACK BAYOU LOOP",
            "address_2": "STE 101",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597198",
            "telephone_number": "678-932-3629",
            "fax_number": "770-423-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER REHAB MANAGEMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER REHAB MANAGEMENT, LLC",
        "enumeration_date": "2011-12-12",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "PHILPOT",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "678-403-3568"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PT Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.