Premier Medical Group, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PREMIER MEDICAL GROUP, LLC

Practice address

1200 Airport Heights Dr
Suite 245
Anchorage, AK 99508-2943

Phone

(907) 677-7440

Fax

(907) 677-7441

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Raymond E. Beard

Title

Practice Administrator

Phone

(907) 677-7440

Specialties & licenses 3

Addresses

Locations

Practitioners 2

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

• Andrew Richard Jaconette, M.D.

  • Interventional Pain Medicine Physician
  • Wasilla, AK
  • NPI 1487778304
  NPD (past)
• Joella Beard, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Ft Carson, CO
  • NPI 1477680254
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1194849307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142323",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995142323",
            "telephone_number": "907-677-7440",
            "fax_number": "907-677-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR",
            "address_2": "SUITE 245",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082943",
            "telephone_number": "907-677-7440",
            "fax_number": "907-677-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "907-677-7440"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Medical & Rehab LLC
• Premier Independent Care Coordination
• Betty Maria Prentice
• David Y Prentice, DC
• Prescription Laboratories LLC
• Teagan J Presler
• Veda Ann Press III

• Physical Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.