NPIMap

Organization Active NPI

Premier Physical Therapy and Sports Performance, LLC

  • Physical Therapist
  • Middletown, DE
National Provider Identifier
1619033784
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2006601908 Issued in DE
Legal business name
PREMIER PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC
Practice address
200 Cleaver Farm Rd
Suite 400
Middletown, DE 19709-1630
Phone
(302) 449-2048
Fax
(302) 449-2047
NPI assigned
Dec 31, 2006
Last updated
Sep 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Mr. Patrick R. Williams, PT
Title
Member
Phone
(302) 449-2048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2006601908 DE Primary

Addresses

Primary practice location

200 Cleaver Farm Rd
Suite 400
Middletown, DE 19709-1630

Mailing address

200 Cleaver Farm Rd
Suite 400
Middletown, DE 19709-1630
Phone (302) 449-2048

National Provider Directory

National Provider Directory

Locations

12100 Black Swan Dr
Ste 200
Lewes, DE 19958

20268 Plantations Rd
#B
Lewes, DE 19958
Phone (302) 727-0075

200 Cleaver Farms Rd
Ste 400
Middletown, DE 19709
Phone (302) 378-6111

1006 N Walnut St
Milford, DE 19963
Phone (302) 503-0440

1456 Pulaski Hwy
Newark, DE 19702
Phone (302) 440-6161

4345 Kirkwood Hwy
Ste 201
Wilmington, DE 19808
Phone (302) 389-7855

Practitioners & affiliated clinicians

Practitioners 3

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": "1167523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1619033784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CLEAVER FARM RD",
            "address_2": "SUITE 400",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091630",
            "telephone_number": "302-449-2048",
            "fax_number": "302-449-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLEAVER FARM RD",
            "address_2": "SUITE 400",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091630",
            "telephone_number": "302-449-2048",
            "fax_number": "302-449-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-31",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "302-449-2048",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "2006601908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.