NPIMap

Organization Active NPI

Premier Physical Therapy and Wellness, PC

Doing business as Premier Physical Therapy

  • Physical Therapist
  • New York, NY
National Provider Identifier
1821412495
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PREMIER PHYSICAL THERAPY AND WELLNESS, PC
Doing business as
Premier Physical Therapy
Practice address
7 Dey St
Ste 601
New York, NY 10007-3201
Phone
(212) 249-2451
Fax
(212) 861-2653
NPI assigned
Feb 18, 2014
Last updated
Aug 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Maryanne Nolan
Title
Director
Phone
(212) 861-2630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

7 Dey St
Ste 601
New York, NY 10007-3201

Mailing address

1536 3Rd Ave
FLR 5
New York, NY 10028-2167
Phone (212) 861-2630

Other names 1

  • Premier Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1821412495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 3RD AVE",
            "address_2": "FLR 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282167",
            "telephone_number": "212-861-2630",
            "fax_number": "212-861-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DEY ST",
            "address_2": "STE 601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073201",
            "telephone_number": "212-249-2451",
            "fax_number": "212-861-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY AND WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-861-2630"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.