Active NPI
Premier Physical Therapy and Sports Performance, LLC
- Physical Therapist
- Middletown, DE
National Provider Identifier
1619033784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2006601908
- 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
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
12100 Black Swan Dr
Ste 200
Lewes, DE 19958
20268 Plantations Rd
#B
Lewes, DE 19958
Phone (302) 727-0075
1050 Industrial Dr
Middletown, DE 19709
1006 N Walnut St
Milford, DE 19963
Phone (302) 503-0440
699 S Carter Rd
Unit 5
Smyrna, DE 19977
Phone (302) 365-6520
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Middletown, DE
- NPI 1427499516
-
- Physical Therapist
- Lewes, DE
- NPI 1063073195
-
- Physical Therapist
- Milford, DE
- NPI 1609408913
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.