Premier Physical Therapy & Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PREMIER PHYSICAL THERAPY & WELLNESS, LLC

Practice address

108 Esslemont
Boerne, TX 78015-5164

Phone

(832) 552-1720

Fax

(832) 995-0174

NPI assigned

Sep 9, 2020

Last updated

Sep 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valerie Dianna Sitarski, PTNPI 1932348000

Title

Owner

Phone

(832) 552-7120

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valerie Dianne Sitarski, P.T.

  • Physical Therapist
  • Boerne, TX
  • NPI 1932348000
  Authorized official Same address or phone

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1457966202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ESSLEMONT",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780155164",
            "telephone_number": "832-552-1720",
            "fax_number": "832-995-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ESSLEMONT",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780155164",
            "telephone_number": "832-552-1720",
            "fax_number": "832-995-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "SITARSKI",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "DIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-552-7120",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1073450",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell W Ponsford, DMD
• Autumn Postell, PA
• Sue A Potter
• Kiley M Pradon, DPT
• Premier Boerne Dental, PLLC (Premier Dental Boerne)
• Premium Pharma, LLC (The Pharmacy at Bergheim)
• Preslar Senior Care LLC (Home Instead Franchise 577)
• Prestige Worldwide Pharma LLC (Hill Country Specialty Pharmacy)
• Paul James Prieto
• Laurita Putegnat, LPC

• Physical Therapist in Boerne, TX
• Providers in Boerne, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.