NPIMap

Organization Active NPI

Premier Rehabilitation, Inc.

  • Specialist
  • Dublin, CA
National Provider Identifier
1285621029
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PREMIER REHABILITATION, INC.
Practice address
6635 Dublin Blvd
Suite E
Dublin, CA 94568-3000
Phone
(925) 803-0530
Fax
(925) 803-2047
NPI assigned
Oct 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Ms. Mitzi L Harrison, PHYSICAL THERAPISTNPI 1790772630
Title
Owner
Phone
(925) 245-0100

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6635 Dublin Blvd
Suite E
Dublin, CA 94568-3000

Mailing address

6635 Dublin Blvd
Suite E
Dublin, CA 94568-3000
Phone (925) 803-0530

Other names 1

  • Premier Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

6635 Dublin Blvd
Dublin, CA 94568
Phone (925) 803-0530

6635 Dublin Blvd
Ste E
Dublin, CA 94568
Phone (510) 803-0530

11700 Dublin Blvd
Ste 100
Dublin, CA 94568
Phone (925) 364-7342

339 Stealth Ct
Livermore, CA 94551
Phone (925) 245-0100

Practitioners & affiliated clinicians

Practitioners 8

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": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1285621029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 DUBLIN BLVD",
            "address_2": "SUITE E",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683000",
            "telephone_number": "925-803-0530",
            "fax_number": "925-803-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6635 DUBLIN BLVD",
            "address_2": "SUITE E",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683000",
            "telephone_number": "925-803-0530",
            "fax_number": "925-803-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MITZI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-245-0100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.