PREMIER PHYSICAL THERAPY, P.C. (NPI# 1619279825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619279825 |
| Entity Type | Organization |
| Organization Name | PREMIER PHYSICAL THERAPY, P.C. |
| Practice Address |
1413 W Moyamensing Ave 1st Floor Philadelphia PA 19145-4625 |
| Practice Telephone | 2676392555 |
| Practice Fax Number | 2676392632 |
| Mailing Telephone | 2676392555 |
| Mailing Fax Number | 2676392632 |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2012-10-15 |
| Authorized Official Name | MR. CARL CONTINO (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2672579030 |
| Authorized Official Credential | MS, PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT013787L | PA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609035435 | Premier Physical Therapy, P.C. | Physical Therapist | 5663 Middlesex St, Dearborn, MI 48126-2110 | 2008-06-06 |
| Street Address |
1413 W MOYAMENSING AVE 1ST FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672479 | Theodore B Porter | Family Medicine | 1413 W Moyamensing Ave, 1st Floor, Philadelphia, PA 19145-4625 | 2005-07-14 |
| 1568974012 | Chertow Orthopaedics and Sports Medicine | Orthopaedic Surgery | 1413 W Moyamensing Ave, Philadelphia, PA 19145-4625 | 2017-10-24 |
| 1679011340 | William Metz | Physical Therapist | 1413 W Moyamensing Ave, Lower Level, Philadelphia, PA 19145-4625 | 2017-02-02 |
| 1669845608 | Comprehensive Medical Supplies | Durable Medical Equipment & Medical Supplies | 1413 W Moyamensing Ave, 1st Floor, Philadelphia, PA 19145-4625 | 2015-11-12 |
| 1043628308 | Physicians Billing and Collection Services, Inc | Internal Medicine | 1413 W Moyamensing Ave, 1st Floor, Philadelphia, PA 19145-4625 | 2014-07-30 |
| 1396164695 | Komal Patel | Physical Therapist | 1413 W Moyamensing Ave, 1st Floor, Philadelphia, PA 19145-4625 | 2014-04-15 |
| 1851735302 | Theodore B Porter, Do, PC | Family Medicine | 1413 W Moyamensing Ave, 1st Floor, Philadelphia, PA 19145-4625 | 2013-04-26 |
| 1891052528 | Stephen Joseph Capella | Physical Therapist | 1413 W Moyamensing Ave, Philadelphia, PA 19145-4625 | 2012-04-19 |
| 1942316195 | Catalyst Physical Therapy and Wellness Center, Inc. | Clinic/Center | 1413 W Moyamensing Ave, 1st Floor, Philadelphia, PA 19145-4625 | 2006-08-21 |
| 1003829219 | Carl C Contino | Physical Therapist | 1413 W Moyamensing Ave, Philadelphia, PA 19145-4625 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510936 | Ally Wellness LLC | Clinic/Center | 7 S 43rd St Apt 1, Philadelphia, PA 19104-3797 | 2020-05-22 |
| 1295378388 | Masters Rehabilitation Center | Clinic/Center | 9 N 52nd St, Philadelphia, PA 19139-2644 | 2019-10-22 |
| 1003391376 | Physiomove LLC | Clinic/Center | 10050 Roosevelt Blvd Unit 11, Philadelphia, PA 19116-3965 | 2018-10-02 |
| 1700307329 | Bones Fitness Partnerships | Clinic/Center | 1528 Walnut St Ste 300, Philadelphia, PA 19102-3626 | 2017-07-05 |
| 1659811354 | Ascend Orthopaedics | Clinic/Center | 1500 Walnut St Ste 7001a, Philadelphia, PA 19102-3523 | 2017-02-28 |
| 1689067472 | Mydoc Urgent Care | Clinic/Center | 1420 Locust St Unit R1a, Philadelphia, PA 19102-4223 | 2015-03-18 |
| 1205228160 | Jerry A Toomer | Clinic/Center | 1610 Cecil B Moore Ave, Philadelphia, PA 19121-3210 | 2015-03-02 |
| 1568629681 | South Philadelphia Ps | Clinic/Center | 1 Reed St, Philadelphia, PA 19147-5501 | 2008-05-16 |
| 1356543615 | Pt-one, LLC | Clinic/Center | 1835 Market St, 2nd Floor, Philadelphia, PA 19103-2968 | 2007-05-31 |
| 1568581098 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 7000 Holstein Ave., Philadelphia, PA 19153 | 2007-03-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
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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.