Premium Physical Therapy Inc

LBN: Premium Physical Therapy Inc
Premium Physical Therapy Inc is an health care organization with primary practice located at 2021 Herndon Ave Ste. 102, Clovis CA 93611-6101. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Premium Physical Therapy Inc can be contacted via phone (559) 321-8405, or through Biggers, Russell Shawn via phone (559) 321-8405.

Contact Information

Primary practice address
2021 Herndon Ave Ste. 102 Clovis CA 93611-6101
Phone: (559) 321-8405
Fax: (559) 900-7952
Website:
Map and Directions
Authorized official contact:
Name: Biggers, Russell Shawn DPT
Phone: (559) 321-8405

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1801272992
LBN Legal business name Premium Physical Therapy Inc
DBA Doing business as
Authorized official Biggers, Russell Shawn DPT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2015
Last updated Jul 26th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801272992 NPPES
California Other 261QP2000X TAXONOMY

Popular Providers