NPIMap

Organization Active NPI

Premier Therapy Centers, Inc

  • Physical Therapy Clinic/Center
  • West Bloomfield, MI
National Provider Identifier
1962512202
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PREMIER THERAPY CENTERS, INC
Practice address
33010 Northwestern Hwy
West Bloomfield, MI 48322-3634
Phone
(248) 538-5165
NPI assigned
Aug 30, 2006
Last updated
Apr 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Authorized official

Name
Nora CascardoNPI 1285734525
Title
Administrator
Phone
(248) 538-5165

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 Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

Mailing address

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130801000211 MI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 5092605717 Practice locations: West Bloomfield, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962512202. Details of each certification follow.

  • CCN 236866 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 236866

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 THERAPY CENTERS
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Nov 27, 2013
Last certification
Nov 27, 2013
Ownership / control type
Proprietary
Facility address
33010 Northwestern Highway
West Bloomfield, MI 48322

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 154

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 154

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1962512202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33010 NORTHWESTERN HWY",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33010 NORTHWESTERN HWY",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223634",
            "telephone_number": "248-538-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER THERAPY CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "CASCARDO",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-538-5165"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.