Premier Orthopaedic and Sports Medicine Associates, LTD
Organization Active NPI Physical Therapist · Folsom, PA
NPI 1174842686 · NPPES record last updated Feb 10, 2022
Key facts
- NPI
- 1174842686
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
- Practice address
- 501 Macdade Blvd
Folsom, PA 19033-3203 - Phone
- (610) 586-7000
- NPI assigned
- May 24, 2010
- Organization subpart
- No
Authorized official
- Name
- Darlene Buddy
- Title
- Credentialing Coordinator
- Phone
- (610) 359-6571
Corporate family (same tax ID) 19
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930072529 | PA | DME Supplier - Independently-Practicing Physical Therapist |
5890681092 | Practice locations: Folsom, PA |
National Provider Directory
- Tax ID family
- Premier Orthopaedics SP
Locations
501 Macdade Blvd
Folsom, PA 19033
Phone (610) 586-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
501 Macdade Blvd
Folsom, PA 19033-3203
Mailing address
PO Box 5228
West Chester, PA 19380-0405
Phone (610) 359-6571
Other providers in Folsom, PA
- Physical Rehabilitation Therapy Associates
- Kaymah Pierson
- Wyatt Stephen Popovich
- Precision Chiropractic and Body Therapy LLC
- Craig Otto Preis
- Psychiatry Advocates
- Reliant Home Health Agency, Inc.
- Reward Home Care, LLC
- Ridley Emergency Medical Services
- Ridley School District
All providers in Folsom, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.