Premier Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2305202232 Issued in VA

Legal business name

PREMIER PHYSICAL THERAPY

Practice address

6330 Five Mile Centre Park
#406
Fredericksburg, VA 22407-5516

Phone

(540) 785-9770

Fax

(540) 785-9772

NPI assigned

Apr 6, 2007

Last updated

Aug 22, 2020By 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

Yvette Eileen Slezak, DPT, ATC

Title

Owner

Phone

(540) 785-9770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 8

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.

• Yvette E Flynn, DPT

  • Physical Therapist
  • Fredericksburg, VA
  • NPI 1417069964
  Medicare reassignment NPD
• Jennifer W Robinson, PT

  • Physical Therapist
  • Stafford, VA
  • NPI 1508009044
  Medicare reassignment NPD
• Kimberly-Kay Audra Wynn, PT

  • Physical Therapist
  • Fredericksburg, VA
  • NPI 1487277612
  Medicare reassignment NPD
• Christie Pona, DPT, ATC

  • Physical Therapist
  • Nottingham, MD
  • NPI 1568800746
  NPD
• Emily A Willard, DPT

  • Physical Therapist
  • Victor, NY
  • NPI 1871848887
  NPD
• Andrea M Fulena, MT

  • Physical Medicine & Rehabilitation Physician
  • Fredericksburg, VA
  • NPI 1972808939
  NPD (past)
• Ellie Rose Hohlfelder

  • Physical Therapist
  • King George, VA
  • NPI 1427970086
  NPD (past)
• Ginger Houck, PT

  • Physical Therapist
  • Fredericksburg, VA
  • NPI 1689656332
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891817938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 FIVE MILE CENTRE PARK",
            "address_2": "#406",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224075516",
            "telephone_number": "540-785-9770",
            "fax_number": "540-785-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 FIVE MILE CENTRE PARK",
            "address_2": "#406",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224075516",
            "telephone_number": "540-785-9770",
            "fax_number": "540-785-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLEZAK",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-785-9770",
        "authorized_official_credential": "DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305202232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pratt Medical Center,LTD (Pratt Healthcare Radiology)
• Alec Pratt, MS, CCC-SLP
• Preferred Pediatrics at Snowden
• Premier Cardiac and Vascular LLC
• Premier Eyecare, Angela Tsai, O.D. and Associates, P.C.
• Beena Jennifer Premkumar, M.D.
• Mark Pressler
• Prestige Health Homcare Solutions LLC
• Sarah Crocker Preuss, COTA
• Shannon Crystal Prevost

• Physical Therapy Clinic/Center in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.