Premiere Physical Therapy & Sport Rehabilitation

LBN: Premiere Physical Therapy & Sport Rehabilitation
Premiere Physical Therapy & Sport Rehabilitation is an health care organization with primary practice located at 320 E Carpenter St Ste 1B , Springfield IL 62702-5165. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Premiere Physical Therapy & Sport Rehabilitation can be contacted via phone (217) 744-8000, or through Woodard, John A via phone (217) 744-8000.

Contact Information

Primary practice address
320 E Carpenter St Ste 1B Springfield IL 62702-5165
Phone: (217) 744-8000
Fax: (217) 744-8004
Website:
Map and Directions
Authorized official contact:
Name: Woodard, John A
Phone: (217) 744-8000

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1477660629
LBN Legal business name Premiere Physical Therapy & Sport Rehabilitation
DBA Doing business as
Authorized official Woodard, John A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2006
Last updated Sep 30th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477660629 NPPES
Illinois Other 8421396 BCBS GROUP

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