NPIMap

Organization Active NPI

Premier Physical Therapy and Wellness, PC

Doing business as Premier Physical Therapy

  • Physical Therapist
  • New York, NY
National Provider Identifier
1912996141
Registry record updated Aug 9, 2012
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
170 E 77TH St
Prof. Unit 2
New York, NY 10075-1912
Phone
(212) 249-5332
Fax
(212) 249-9539
NPI assigned
Oct 20, 2005
Last updated
Aug 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Joseph TattaNPI 1972596500
Title
Director
Phone
(212) 249-5332

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

170 E 77TH St
Prof. Unit 2
New York, NY 10075-1912

Mailing address

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

Other names 1

  • Premier Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

238 E 77th St
Apt Ll
New York, NY 10075
Phone (212) 249-5332

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1912996141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 3RD AVE",
            "address_2": "5TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282167",
            "telephone_number": "212-861-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 E 77TH ST",
            "address_2": "PROF. UNIT 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751912",
            "telephone_number": "212-249-5332",
            "fax_number": "212-249-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY AND WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "TATTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-249-5332"
    },
    "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 9, 2012; 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.