Premier Rehab-LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01246100 Issued in NJ

Legal business name

PREMIER REHAB-LLC

Practice address

7511 Bergenline Ave
North Bergen, NJ 07047-5459

Phone

(201) 868-0021

NPI assigned

Apr 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Victor Sabrido Lim Jr., P.T.

Title

Physical Therapist/Owner

Phone

(917) 361-2789

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1548586019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PALISADE AVE",
            "city": "BOGOTA",
            "state": "NJ",
            "postal_code": "076031825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 BERGENLINE AVE",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475459",
            "telephone_number": "201-868-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER REHAB-LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "SABRIDO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "917-361-2789",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01246100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anca Popa, M.D
• Janani Prakash Babu, MD
• Nalini Prasad
• Siobhan Prasad
• Premier Brain and Spine LLC
• Kaitlyn Paige Probasco, PA-C
• Sai Priyanka Pulipaka, MBBS
• Harry Qi, DO
• QKKP
• Sophia Minh Quach

• Physical Therapy Clinic/Center in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.