Premier Physical Therapy, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT013787L Issued in PA

Legal business name

PREMIER PHYSICAL THERAPY, P.C.

Practice address

1413 W Moyamensing Ave
1St Floor
Philadelphia, PA 19145-4625

Phone

(267) 639-2555

Fax

(267) 639-2632

NPI assigned

Nov 19, 2010

Last updated

Oct 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carl Contino, MS, PTNPI 1003829219

Title

President/Owner

Phone

(267) 257-9030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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.

• Carl C Contino, MS, PT

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1003829219
  Medicare reassignment NPD Authorized official
• Stephen Joseph Capella, PT, DPT

  • Physical Therapist
  • Harleysville, PA
  • NPI 1891052528
  Medicare reassignment NPD
• Komal Patel, PT

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1396164695
  Medicare reassignment NPD
• William Edward Holl, PT

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1912957424
  Medicare reassignment

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1619279825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 W MOYAMENSING AVE",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454625",
            "telephone_number": "267-639-2555",
            "fax_number": "267-639-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 W MOYAMENSING AVE",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454625",
            "telephone_number": "267-639-2555",
            "fax_number": "267-639-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "CONTINO",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "267-257-9030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT013787L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Orthopaedic and Sports Medicine Associates, LTD
• Premier Pain & Rehab Center
• Premier Pain & Rehab Center
• Premier Pediatrics, LLC
• Premier Physical Therapy & Wellness
• Premier Respiratory Soulutions LLC
• Premier Urgent Care at Kennett Square, LLC
• Premier Urgent Care at Kennett Square, LLC
• Premiere Dental of Philadelphia
• Premiervision Laser Center, Inc. (Cordelia N. Uddoh, MD)

• Physical Therapy Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.