Premier Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1094589 Issued in TX

Legal business name

PREMIER PHYSICAL THERAPY, PLLC

Practice address

2824 Valley View LN
Suite 103
Dallas, TX 75234-4970

Phone

(817) 881-1156

NPI assigned

Apr 26, 2010

Organization subpart

No

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

Authorized official

Name

Eva Galve BertrandNPI 1548580608

Title

Partner

Phone

(817) 881-1156

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eva Bertrand

  • Physical Therapist
  • Arlington, TX
  • NPI 1548580608
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Mendoza Sanders

  • Physical Therapist
  • Arlington, TX
  • NPI 1750174306
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1760709109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 VALLEY VIEW LN",
            "address_2": "SUITE 103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752344970",
            "telephone_number": "817-881-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 VALLEY VIEW LN",
            "address_2": "SUITE 103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752344970",
            "telephone_number": "817-881-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "BERTRAND",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "GALVE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "817-881-1156"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1094589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB113719",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Iom LLC
• Premier Lab Testing LLC
• Premier Medical Services LLC
• Premier Muscle Testing LLC
• Premier Pain Solutions PLLC
• Premier Physician Surgical Associates, PLLC
• Premier Provider Health PA
• Premier Provider Health PA
• Premier Provider Health PA
• Premier Total Healthcare PA

• All providers in Dallas, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.