Organization Active NPI

Premier Care Physical Therapy, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Sterling Heights, MI
National Provider Identifier
1235329921
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PREMIER CARE PHYSICAL THERAPY, P.C.
Practice address
33200 Dequindre Rd Ste 101
Sterling Heights, MI 48310-5967
Phone
(248) 526-6600
Fax
(248) 526-6699
NPI assigned
Jul 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Rosario Gumban Afante, PTNPI 1689676280
Title
Owner
Phone
(485) 266-6002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

33200 Dequindre Rd Ste 101
Sterling Heights, MI 48310-5967

Mailing address

33200 Dequindre Rd Ste 101
Sterling Heights, MI 48310-5967
Phone (248) 526-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130415000475 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2567557283 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory

Locations

100 W 13 Mile Rd
Madison Heights, MI 48071
Phone (248) 526-6600

2750 Bay Rd
Ste 4
Saginaw, MI 48603
Phone (989) 249-4009

3422 Davenport Ave
Saginaw, MI 48602
Phone (989) 792-4009

33200 Dequindre Rd
Ste 101
Sterling Heights, MI 48310
Phone (248) 526-6600

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1235329921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33200 DEQUINDRE RD STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105967",
            "telephone_number": "248-526-6600",
            "fax_number": "248-526-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 DEQUINDRE RD STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105967",
            "telephone_number": "248-526-6600",
            "fax_number": "248-526-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-28",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "AFANTE",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_middle_name": "GUMBAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "485-266-6002",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.