Premier Spine & Rehab, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PREMIER SPINE & REHAB, LLC

Practice address

111 S West St
Suite 5
Dover, DE 19904-3219

Phone

(407) 412-4329

NPI assigned

Apr 8, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Roberto Thelusma

Title

President

Phone

(407) 412-4329

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1497119184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S WEST ST",
            "address_2": "SUITE 5",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043219",
            "telephone_number": "407-412-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S WEST ST",
            "address_2": "SUITE 5",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043219",
            "telephone_number": "407-412-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SPINE & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "THELUSMA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-412-4329",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Francis Precourt Jr., LPCMH CADC
• Premier Counseling, LLC
• Premier Medical Associates
• Premier Medical Associates
• Premier Physical Therapy and Sports Performance Limited Partnership
• Presbyterian Homes Inc.
• Cynthia C Presnell, CRNA
• Pressley Ridge
• Emily Albright Preston, RN, APN, WHNP-BC
• Myra D Preston, OT

• Chiropractor in Dover, DE
• Providers in Dover, DE by specialty
• Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.