NPIMap

Organization Active NPI

Premier Rehab, LLC

  • Physical Therapist
  • Mason, OH
National Provider Identifier
1649222886
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 005428 Issued in OH
Legal business name
PREMIER REHAB, LLC
Practice address
7922 Winding Creek CT
Mason, OH 45040-6910
Phone
(513) 821-8700
Fax
(513) 821-0500
NPI assigned
May 16, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jonathan Kemp Nugent, P.T.NPI 1003868944
Title
Member/Owner
Phone
(513) 821-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 005428 OH Primary

Addresses

Primary practice location

7922 Winding Creek CT
Mason, OH 45040-6910

Mailing address

7922 Winding Creek CT
Mason, OH 45040-6910
Phone (513) 821-8700

National Provider Directory

National Provider Directory

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": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649222886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 WINDING CREEK CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406910",
            "telephone_number": "513-821-8700",
            "fax_number": "513-821-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7922 WINDING CREEK CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406910",
            "telephone_number": "513-821-8700",
            "fax_number": "513-821-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NUGENT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "KEMP",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "513-821-8700",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 005428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.