Organization Active NPI

Premier Health Group Inc

  • Physical Medicine & Rehabilitation Physician
  • Belchertown, MA
National Provider Identifier
1699408534
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PREMIER HEALTH GROUP INC
Practice address
35 Turkey Hill Rd Ste 105
Belchertown, MA 01007-9032
Phone
(413) 323-1115
Fax
(413) 650-5548
NPI assigned
Jul 7, 2022
Last updated
Jul 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Michelle Dubuc, PTNPI 1093179939
Title
Owner/Presiden
Phone
(413) 427-3476

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

35 Turkey Hill Rd Ste 105
Belchertown, MA 01007-9032

Mailing address

35 Turkey Hill Rd Ste 105
Belchertown, MA 01007-9032
Phone (413) 323-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240326000293 MA Part B Supplier - Clinic/Group Practice 6608220231 Receives reassigned benefits from 3 practitioners
Practice locations: Belchertown, MA; South Hadley, MA; Ware, MA

National Provider Directory

National Provider Directory

Locations

35 Turkey Hill Rd
Ste 105
Belchertown, MA 01007
Phone (413) 323-1115

246 West St
Ware, MA 01082
Phone (413) 967-0211

Practitioners & affiliated clinicians

Practitioners 7

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": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1699408534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TURKEY HILL RD STE 105",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079032",
            "telephone_number": "413-323-1115",
            "fax_number": "413-650-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TURKEY HILL RD STE 105",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079032",
            "telephone_number": "413-323-1115",
            "fax_number": "413-650-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "DUBUC",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PRESIDEN",
        "authorized_official_telephone_number": "413-427-3476",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belchertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.