Premier Rehab & Aquatics

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00211 Issued in LA

Legal business name

PREMIER REHAB & AQUATICS

Practice address

7015 Hwy 190 E Serv Rd
Suite 103
Covington, LA 70433-4960

Phone

(985) 893-8285

Fax

(985) 893-8288

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Martin Vince Tassin, LPT

Title

Physical Therapist

Phone

(985) 893-8285

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1356319552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 HWY 190 E SERV RD",
            "address_2": "SUITE 103",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334960",
            "telephone_number": "985-893-8285",
            "fax_number": "985-893-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 HWY 190 E SERV RD",
            "address_2": "SUITE 103",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334960",
            "telephone_number": "985-893-8285",
            "fax_number": "985-893-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER REHAB & AQUATICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "TASSIN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "VINCE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "985-893-8285",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Toups Prather, APRN FNP-C
• Victoria Prather, LCSW
• Wendy Anne Pratt, APRN - FNP
• Preference Medical
• Premier After Hours
• Premier Therapeutics, LLC
• Dale A Presser III, M.D.
• Haley Prestwood
• Anna Price, FNP
• Lauren Price, FNP

• Physical Therapist in Covington, LA
• Providers in Covington, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.