Premier Physical Rehab LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PREMIER PHYSICAL REHAB LLC

Practice address

26000 Hoover Rd Ste 101
Warren, MI 48089-1167

Phone

(313) 207-5767

NPI assigned

Aug 14, 2019

Organization subpart

No

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

Authorized official

Name

Abla Soueidan

Title

Owner

Phone

(313) 207-5767

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1356997415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 N GULLEY RD",
            "city": "DEARBORN HTS",
            "state": "MI",
            "postal_code": "481273453",
            "telephone_number": "313-207-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26000 HOOVER RD STE 101",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891167",
            "telephone_number": "313-207-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "SOUEIDAN",
        "authorized_official_first_name": "ABLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-207-5767"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PREMIERMEDICALMOVEMENT@GMAIL.COM",
            "affiliation": "N",
            "address_1": "26000 Hoover Rd Ste 101",
            "city": "Warren",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480891167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Premier Care Services LLC
• Premier Care Warren
• Premier Care Warren
• Premier Health and Wellness Center
• Premier Medical Movement Management Company LLC
• Preserve Independence
• Preserve Independence Counseling
• Lasaundra Pressley
• Prestige Specialty Pharmacy 2
• Prestige Specialty Pharmacy 3

• Physical Therapy Clinic/Center in Warren, MI
• Providers in Warren, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.