PREMIER THERAPY (NPI# 1356774913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356774913 |
| Entity Type | Organization |
| Organization Name | PREMIER THERAPY |
| Practice Address |
1248 Hospital Dr St Johnsbury VT 05819-9239 |
| Practice Telephone | 8027488757 |
| Mailing Telephone | 8027488757 |
| Enumeration Date | 2013-08-18 |
| Last Update Date | 2013-08-18 |
| Authorized Official Name | MR. BRIAN LABELLE (REHABILITATION MANAGER) |
| Authorized Official Telephone | 8027488757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 073.0000193 | VT | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Premier Therapy Associates LLC | |
| Washington State Corporations | PREMIER THERAPY ASSOCIATES, LLC | 21827 76th Ave W, Suite 101, Edmonds, WA 98026-5141 |
| Indiana Business Entities | PREMIER THERAPY GROUP, LLC | 4016 Fiddlesticks Dr., Lafayette, IN 47909 |
| Virginia Business Entities | PREMIER THERAPY INC. | |
| Connecticut Business Registrations | PREMIER THERAPY WELLNESS LLC | 7 Birdle Circle, Torrington, CT 06790 |
| Street Address |
1248 HOSPITAL DR |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819-9239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992755219 | Janet L Patterson | Nurse Practitioner | 1248 Hospital Dr, St Johnsbury, VT 05819-9239 | 2006-05-10 |
| 1811518293 | Shannon Mcgrath | Occupational Therapist | 1248 Hospital Dr, St Johnsbury, VT 05819-9248 | 2020-04-27 |
| 1639700719 | Post Acute Specialists of Vermont Plc | Family Medicine | 1248 Hospital Dr, St Johnsbury, VT 05819-9239 | 2020-01-28 |
| 1215576293 | Marissa J. Fevelo | Physical Therapist | 1248 Hospital Dr, St Johnsbury, VT 05819-9248 | 2019-12-23 |
| 1972085934 | Caitlin Lemire | Physical Therapist | 1248 Hospital Dr, St Johnsbury, VT 05819-9239 | 2018-09-05 |
| 1518494426 | Todd Russell Rexford | Occupational Therapy Assistant | 1248 Hospital Dr, St Johnsbury, VT 05819-9239 | 2017-05-23 |
| 1942669395 | Elizabeth Hale | Physical Therapy Assistant | 1248 Hospital Dr, St Johnsbury, VT 05819-9239 | 2016-02-14 |
| 1699130187 | Kim De La Rosa | Speech-Language Pathologist | 1248 Hospital Dr, St Johnsbury, VT 05819-9239 | 2015-12-28 |
| 1841664034 | Stephanie Emery | Occupational Therapist | 1248 Hospital Dr, St Johnsbury, VT 05819-9239 | 2015-11-25 |
| 1124432141 | Sarah Booth | Speech-Language Pathologist | 1248 Hospital Dr, St Johnsbury, VT 05819-9239 | 2014-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793491 | St. Johnsbury Health and Rehabilitation Center LLC | Skilled Nursing Facility | 1248 Hospital Drive, St Johnsbury, VT 05819-9239 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831574052 | 2 Blackberry Lane Operations LLC | Skilled Nursing Facility | 2 Blackberry Ln, Bennington, VT 05201-2300 | 2015-07-29 |
| 1598153322 | Cck Holdings, LLC | Skilled Nursing Facility | 7 Forest Hill Dr, Saint Albans, VT 05478-1615 | 2015-01-01 |
| 1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
| 1982918843 | Genesis Healthcare Lebanon | Skilled Nursing Facility | 1218 South Randolph Road, Randolph Center, VT 05061 | 2010-08-03 |
| 1679739445 | Lisa Lyn Shover | Skilled Nursing Facility | 63 Spring St, Newport, VT 05855-5819 | 2008-07-31 |
| 1518156603 | Kingdom Kare Rehabilitation Center | Skilled Nursing Facility | Mail Stop # 500, Maple Hill Road, Barton, VT 05822-0500 | 2007-10-15 |
| 1871709741 | Rutland Crossings LLC | Skilled Nursing Facility | 99 Allen Street, Rutland, VT 05701 | 2007-05-15 |
| 1952517823 | Brattleboro Crossings LLC | Skilled Nursing Facility | 187 Oak Grove Avenue, Brattleboro, VT 05301 | 2007-05-15 |
| 1437229283 | Eden Park Management, Inc. | Skilled Nursing Facility | 99 Allen St, Rutland, VT 05701-4501 | 2006-11-09 |
| 1093885840 | Eden Park Management, Inc. | Skilled Nursing Facility | 187 Oak Grove Ave, Brattleboro, VT 05301-6642 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
| City | ST JOHNSBURY |
| Zip Code | 05819 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.