Premier Rehabilitation Systems, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PREMIER REHABILITATION SYSTEMS, INC.

Practice address

1008 Tavern Rd
Martinsburg, WV 25401-2801

Phone

(304) 264-4040

Fax

(304) 264-4041

NPI assigned

Oct 27, 2006

Last updated

Oct 14, 2016By 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

Stacy Rydbom, PTA

Title

Corporate Officer

Phone

(724) 379-6412

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

Practitioners 1

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.

• Barbara Elizabeth Hunt, OTRL

  • Occupational Therapist
  • Butler, PA
  • NPI 1518084144
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1699851493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 STATE ROUTE 51",
            "address_2": "SUITE 2",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150124305",
            "telephone_number": "724-379-6412",
            "fax_number": "412-592-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 TAVERN RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012801",
            "telephone_number": "304-264-4040",
            "fax_number": "304-264-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER REHABILITATION SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "RYDBOM",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "724-379-6412",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL MARTINSBURG",
            "identifier": "600828800",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BC/BS",
            "identifier": "001756986",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "1568199",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL WINCHESTER",
            "identifier": "600828801",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST VIRGINIA MEDICAID",
            "identifier": "0207724000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL MCMURRAY",
            "identifier": "600828802",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL MORGANTOWN",
            "identifier": "600828803",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Powerback Rehabilitation LLC (Powerback Rehabilitation)
• Angela D Powers, RN
• Deirdre Anne Powers, M.ED.,CCC-A
• Roberto Prado
• Barbara Laraine Prashaw
• Patricia Nicole Prentice
• Susan Presley
• Ashley Preston, CRNP
• Annemarie Sullivan Price, RD
• Dana Kathleen Price, MSN, APRN, FNP-C

• Physical Therapist in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.