L I Premier Wellness Group Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

L I PREMIER WELLNESS GROUP INC

Practice address

58 Sunrise Hwy
Lindenhurst, NY 11757-2505

Phone

(631) 991-3311

Fax

(631) 991-3309

NPI assigned

Dec 2, 2020

Organization subpart

No

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

Authorized official

Name

Brandon Spahn, PT

Title

President

Phone

(631) 991-3311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1891390449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SUNRISE HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572505",
            "telephone_number": "631-991-3311",
            "fax_number": "631-991-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 SUNRISE HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572505",
            "telephone_number": "631-991-3311",
            "fax_number": "631-991-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L I PREMIER WELLNESS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "SPAHN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-991-3311",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olena Kropp
• Paul Edwin Krumholz, RN
• Monica Kuil
• Samantha Kurtz
• Jacqueline A Kyriacou, RPH
• Gabriella Marie Lampitok, CTRS
• Mae-an Lanas, LPN
• Land, Sea Air NP in Family Health
• Rachel Langer
• Steve Laureus

• Physical Therapist in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.