NPIMap

Organization Active NPI

Premier Therapy

  • Skilled Nursing Facility
  • St Johnsbury, VT
National Provider Identifier
1356774913
Registry record updated Aug 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
073.0000193 Issued in VT
Legal business name
PREMIER THERAPY
Practice address
1248 Hospital Dr
St Johnsbury, VT 05819-9239
Phone
(802) 748-8757
NPI assigned
Aug 18, 2013
Last updated
Aug 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2013

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

Authorized official

Name
Mr. Brian Labelle
Title
Rehabilitation Manager
Phone
(802) 748-8757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 073.0000193 VT Primary

Addresses

Primary practice location

1248 Hospital Dr
St Johnsbury, VT 05819-9239

Mailing address

1248 Hospital Dr
St Johnsbury, VT 05819-9239
Phone (802) 748-8757

National Provider Directory

National Provider Directory
Tax ID family
CPL Premier Therapy LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1376784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376784000000",
    "number": "1356774913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 HOSPITAL DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199239",
            "telephone_number": "802-748-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 HOSPITAL DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199239",
            "telephone_number": "802-748-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-18",
        "last_updated": "2013-08-18",
        "status": "A",
        "authorized_official_last_name": "LABELLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "REHABILITATION MANAGER",
        "authorized_official_telephone_number": "802-748-8757",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VT",
            "license": "073.0000193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2013; 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.