NPIMap

Organization Active NPI

Premier Physical Therapy & Wellness of the Upper Westside PC

Doing business as Premier Physical Therapy

  • Physical Therapist
  • New York, NY
National Provider Identifier
1477800688
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PREMIER PHYSICAL THERAPY & WELLNESS OF THE UPPER WESTSIDE PC
Doing business as
Premier Physical Therapy
Practice address
132 W 96TH St
Suite 1a
New York, NY 10025-6418
Phone
(212) 249-2758
Fax
(212) 249-2506
NPI assigned
Aug 7, 2012
Last updated
Nov 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Maryanne Nolan
Title
Director
Phone
(212) 861-2630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

132 W 96TH St
Suite 1a
New York, NY 10025-6418

Mailing address

1536 3Rd Ave
5TH FL
New York, NY 10028-2167
Phone (212) 861-2630

Other names 1

  • Premier Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1477800688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 3RD AVE",
            "address_2": "5TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282167",
            "telephone_number": "212-861-2630",
            "fax_number": "212-861-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W 96TH ST",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256418",
            "telephone_number": "212-249-2758",
            "fax_number": "212-249-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY & WELLNESS OF THE UPPER WESTSIDE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-861-2630"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.