Premere Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PREMERE REHAB LLC

Doing business as

Infinity Rehab

Practice address

10401 W Charleston Blvd
Las Vegas, NV 89135-1151

Phone

(702) 207-4242

NPI assigned

Aug 26, 2022

Last updated

Aug 26, 2022By 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

Laura CantrellNPI 1588855126

Title

VP Community Based Services

Phone

(360) 901-8111

Specialties & licenses 3

Addresses

Other names 1

• Infinity Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Premere Rehab LLC

  dba Infinity Rehab

  • Physical Therapist
  • Henderson, NV
  • NPI 1235821307

  O20110509000722

  Same enrollment
• Premere Rehab LLC

  dba Infinity Rehab LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1922305663

  O20110509000722

  Same enrollment
• Premere Rehab LLC

  dba Henderson

  • Physical Therapist
  • Henderson, NV
  • NPI 1932406675

  O20110509000722

  Same enrollment
• Premere Rehab LLC

  dba Infinity Rehab

  • Physical Therapist
  • Wilsonville, OR
  • NPI 1245278639

  O20110509000722

  Same enrollment

Practitioners 2

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.

• Laura Cantrell

  • Geriatric Physical Therapist
  • Tualatin, OR
  • NPI 1588855126
  Authorized official Same address or phone
• Nancy Lynne Deviese, P.T.

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1336285253
  NPD

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1932828316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 SW NYBERG ST STE 200",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628437",
            "telephone_number": "035-703-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351151",
            "telephone_number": "702-207-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMERE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "VP COMMUNITY BASED SERVICES",
        "authorized_official_telephone_number": "360-901-8111"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinity Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Preferred Personal Care Services of Nevada Inc. (Preferred PCS)
• Yvonne Preiss
• Jaclyn Prell, PMHNP
• Natalie Prelutsky
• Premere Rehab LLC (Infinity Rehab LLC)
• Premier Access Transportation, LLC
• Premier Behavioral Healthcare
• Premier Care Hospice LLC
• Premier Care Medical Group LLC
• Premier Health and Rehabilitation Center of Las Vegas, LP

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.