PREMIER REHABILITATION PLLC (NPI# 1396379442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396379442 |
| Entity Type | Organization |
| Organization Name | PREMIER REHABILITATION PLLC |
| Practice Address |
5121 Michigan Ave Sanford FL 32771-8574 |
| Mailing Address |
755 Monroe Rd Unit 470738 Lake Monroe FL 32747-7525 |
| Practice Telephone | 6784695003 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | STACEY MCMONAGLE (OWNER) |
| Authorized Official Telephone | 6784695003 |
| Authorized Official Credential | MED, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
5121 MICHIGAN AVE |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-8574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669016887 | Blaize Mcmonagle | Physical Therapy Assistant | 5121 Michigan Ave, Sanford, FL 32771-8574 | 2019-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407361785 | Ana Rivera Rivera Rodriguez | Speech-Language Pathologist | 279 Magnolia Park Trl, Sanford, FL 32773-7215 | 2017-12-07 |
| 1821531146 | Word Up Speech Therapy | Speech-Language Pathologist | 10 Wateredge Ln, Sanford, NC 27332-0142 | 2016-11-18 |
| 1578014015 | Cipher Innovations, LLC | Speech-Language Pathologist | 500 Westover Dr # 10224, Sanford, NC 27330-8941 | 2016-10-19 |
| 1154876449 | Natalie Post | Speech-Language Pathologist | 500 Westover Dr # 10068, Sanford, NC 27330-8941 | 2016-08-17 |
| 1104277862 | Minda Butler | Speech-Language Pathologist | 233 Loch Low Dr, Sanford, FL 32773-5549 | 2016-06-23 |
| 1104274299 | Janet Dildine | Speech-Language Pathologist | 135 Chatham St, Sanford, NC 27330-4335 | 2016-05-30 |
| 1932555216 | Brittany Green | Speech-Language Pathologist | 147 Majestic Forest Run, Sanford, FL 32771-7172 | 2016-05-05 |
| 1417331562 | Chonte Nakisha Francois | Speech-Language Pathologist | 985 S Orange Blvd, Sanford, FL 32771-9587 | 2015-07-17 |
| 1578970190 | Erika Rogawski | Speech-Language Pathologist | 113 Hillcrest Drvie, Sanford, NC 27330-4020 | 2014-07-15 |
| 1477968063 | Diane Teasley | Speech-Language Pathologist | 2620 Retreat View Cir, Sanford, FL 32771-8801 | 2014-06-23 |
| Find all providers in SANFORD | ||||
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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.