NPIMap

Organization Active NPI

Premier Physical Medicine & Rehabilitation, LLC.

  • Physical Therapy Clinic/Center
  • Largo, MD
National Provider Identifier
1982829693
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PREMIER PHYSICAL MEDICINE & REHABILITATION, LLC.
Practice address
1101 Mercantile LN
Suite 220
Largo, MD 20774-5360
Phone
(301) 925-1517
Fax
(301) 925-1674
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Denson Terry
Title
Ceo
Phone
(301) 925-1517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1101 Mercantile LN
Suite 220
Largo, MD 20774-5360

Mailing address

PO Box 6302
Capitol Heights, MD 20791-6302
Phone (301) 925-1517

National Provider Directory

National Provider Directory
Tax ID family
Premier Physical Medicine Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1101 Mercantile Ln
Ste 220
Largo, MD 20774
Phone (301) 925-1515

Practitioners & affiliated clinicians

Practitioners 2

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982829693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6302",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207916302",
            "telephone_number": "301-925-1517",
            "fax_number": "301-925-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MERCANTILE LN",
            "address_2": "SUITE 220",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745360",
            "telephone_number": "301-925-1517",
            "fax_number": "301-925-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL MEDICINE & REHABILITATION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "DENSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-925-1517"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.