Premier Physical Therapy & Associates Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20274 Issued in CA

Legal business name

PREMIER PHYSICAL THERAPY & ASSOCIATES INC

Practice address

6591 Collins Dr Ste E8
Moorpark, CA 93021-1492

Phone

(805) 517-0151

Fax

(805) 517-0231

NPI assigned

Sep 25, 2014

Last updated

Apr 2, 2019By 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

William Bryan FisherNPI 1346357043

Title

Cfo

Phone

(805) 566-0600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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.

• William Bryan Fisher, PT

  • Orthopedic Physical Therapist
  • Carpinteria, CA
  • NPI 1346357043
  Medicare reassignment Care Compare group NPD Authorized official
• Tristan Pereira, PT, DPT

  • Physical Therapist
  • Oxnard, CA
  • NPI 1205545597
  Medicare reassignment Care Compare group NPD
• Adria Goppelt Tenisson, PT, MPT

  • Orthopedic Physical Therapist
  • Ventura, CA
  • NPI 1528389269
  Medicare reassignment Care Compare group NPD
• Christopher Waite, PT, DPT, ATC

  • Physical Therapist
  • Oxnard, CA
  • NPI 1558891960
  Medicare reassignment Care Compare group NPD
• Christopher Thomas Ellefson, DPT

  • Physical Therapist
  • Oxnard, CA
  • NPI 1255818290
  NPD (past)
• Joseph Anthony Santistevan

  • Sports Physical Therapist
  • Ojai, CA
  • NPI 1730606468
  NPD (past)

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1902208507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N VENTURA RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303802",
            "telephone_number": "805-566-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6591 COLLINS DR STE E8",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211492",
            "telephone_number": "805-517-0151",
            "fax_number": "805-517-0231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 N Ventura Rd # A",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930303802",
            "country_code": "US",
            "telephone_number": "805-566-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-566-0600"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "20274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Performance Physical Therapy
• Mara Pitstick, PPS
• Albert Poghosyan, LMFT
• Devin Pope, PT, DPT
• Zachary Leroy Potts, DDS
• Kimberly Price, PHYSICAL THERAPIST
• Providian Healthcare LLC (Tri county healthcare)
• Nicole Pufahl
• Emily Punch
• Stephanie Pyatkovskiy, NP

• Physical Therapist in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.