NPIMap

Organization Active NPI

Premier Physical Therapy and Pulmonary Rehab LLC

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1912664871
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PREMIER PHYSICAL THERAPY AND PULMONARY REHAB LLC
Practice address
1771 E Flamingo Rd Ste 100a
Las Vegas, NV 89119-5156
Phone
(702) 800-6887
Fax
(702) 800-6248
NPI assigned
Nov 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Mr. Neil Palma, PTANPI 1609534767
Title
Board Member
Phone
(702) 334-6852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 227900000X

Addresses

Primary practice location

1771 E Flamingo Rd Ste 100a
Las Vegas, NV 89119-5156

Mailing address

1771 E Flamingo Rd Ste 100a
Las Vegas, NV 89119-5156
Phone (702) 800-6887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220127001698 NV Part A Provider - Comprehensive Outpatient Rehabilitation Facility 9739571548 Practice locations: Las Vegas, NV

Comprehensive outpatient rehabilitation facility certification: CCN 294516

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PREMIER PHYSICAL THERAPY AND PULMONARY REHAB LLC
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
Jul 19, 2022
Last certification
Apr 26, 2022
Ownership / control type
Proprietary
Facility address
1771 E Flamingo Rd, Ste 100a
Las Vegas, NV 89119

National Provider Directory

National Provider Directory

Locations

1771 E Flamingo Rd
Ste 100A
Las Vegas, NV 89119
Phone (702) 334-6852

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1637798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1912664871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 100A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195156",
            "telephone_number": "702-800-6887",
            "fax_number": "702-800-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 100A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195156",
            "telephone_number": "702-800-6887",
            "fax_number": "702-800-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY AND PULMONARY REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-25",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "PALMA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "702-334-6852",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.