PREMIER PHYSICAL THERAPY, LLC (NPI# 1053523209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053523209 |
| Entity Type | Organization |
| Organization Name | PREMIER PHYSICAL THERAPY, LLC |
| Practice Address |
558 1st South St Woodville MS 39669-3777 |
| Practice Telephone | 6018887944 |
| Practice Fax Number | 6018887687 |
| Mailing Telephone | 6018887944 |
| Mailing Fax Number | 6018887687 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | MR. GARY RUSSELL JOHNSON (OWNER) |
| Authorized Official Telephone | 6018887944 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09016186 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083121370 | Premier Physical Therapy, LLC | Speech-Language Pathologist | 1106 S Roane St, Harriman, TN 37748-7419 | 2018-01-08 |
| 1407249774 | Premier Physical Therapy, LLC | Physical Therapist | 12421 W 84th Cir, Arvada, CO 80005-5150 | 2015-03-11 |
| 1720035371 | Premier Physical Therapy, LLC | Physical Therapist | 316 Portland Rd, Bridgton, ME 04009-4227 | 2006-05-28 |
| 1952669335 | Premier Physical Therapy, LLC | Physical Therapist | 50 Airport Rd, Westerly, RI 02891-3402 | 2012-04-24 |
| 1437309697 | Premier Physical Therapy, LLC | Case Management | 4125 N 124th St, Ste A, Brookfield, WI 53005-1837 | 2008-09-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Premier Physical Therapy, LLC | 5008 W 92nd Ave, Westminster, CO 80031 |
| Street Address |
558 1ST SOUTH ST |
| City | WOODVILLE |
| State | MS |
| Zip Code | 39669-3777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255429924 | Lori K Taylor | Specialist | 558 1st South St, Woodville, MS 39669-3777 | 2006-10-10 |
| 1659650802 | Virginia Lewis | Physical Therapist | 558 1st South St, Woodville, MS 39669-3777 | 2011-08-05 |
| 1306906375 | Total Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 558 1st South St, Woodville, MS 39669-3777 | 2006-12-11 |
| 1285794107 | Gary Russell Johnson | Physical Therapist | 558 1st South St, Woodville, MS 39669-3777 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134607393 | Granger LLC | Non-emergency Medical Transport (VAN) | 16 Flower Ln, Woodville, MS 39669 | 2018-07-31 |
| 1427576743 | Roslyn Jill Smith | Pharmacist | 211 Hwy 61 South, Woodville, MS 39669 | 2017-09-07 |
| 1386176055 | Lashonda Tolliver | Counselor | 64 Tolliver Ln, Woodville, MS 39669 | 2017-03-31 |
| 1548660954 | Alicia Freeman Randall | Social Worker | 2045 Hwy 24 East, Woodville, MS 39669 | 2014-09-04 |
| 1659796340 | Caring 4 You Adult Daycare Center, LLC | Respite Care | 1580 Highway 24 West, Woodville, MS 39669 | 2014-03-04 |
| 1720211386 | Family Health Care Clinic, Inc. | Clinic/Center | 1823 Highway 24 West, Woodville, MS 39669 | 2009-08-31 |
| 1336381946 | Family Health Care Clinic, Inc. | Clinic/Center | 1495 Us Highway 61 S, Woodville, MS 39669 | 2009-03-27 |
| 1306052238 | Don Harvey Cummings | Pharmacist | 179 Boston Row, Woodville, MS 39669 | 2007-05-15 |
| 1053415190 | Mckenzie Healthcare Solutions | Durable Medical Equipment & Medical Supplies | 751 Main Street, Woodville, MS 39669 | 2006-09-11 |
| 1750313797 | Freds Stores of Tennessee Inc | Pharmacy | 211 U.S. Hwy 61 South, Woodville, MS 39669 | 2006-07-07 |
| Find all providers in zip 39669 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730474867 | Matthew S Lambeth | Physical Therapist | 1121 S Magnolia St Ste 800, Woodville, TX 75979-5672 | 2011-06-16 |
| 1396990859 | Ken Manginsay | Physical Therapist | 2075 County Road 4260, Woodville, TX 75979-6271 | 2008-11-25 |
| 1497176960 | Kaylene Killingsworth | Physical Therapist | 102 N Beech St, Woodville, TX 75979-4718 | 2013-12-30 |
| 1659650802 | Virginia Lewis | Physical Therapist | 558 1st South St, Woodville, MS 39669-3777 | 2011-08-05 |
| 1285794107 | Gary Russell Johnson | Physical Therapist | 558 1st South St, Woodville, MS 39669-3777 | 2006-12-11 |
| 1215944962 | Jonathan P Hegemier | Physical Therapist | 108 E Main St, Ste B, Woodville, OH 43469-1209 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1952916637 | Harrison Olinger | Physical Therapist | 6300 E Lake Blvd Ste 101, Vancleave, MS 39565-6771 | 2020-09-10 |
| 1114539582 | Kristin Renae Ferrell | Physical Therapist | 276 Nissan Pkwy Ste 100, Canton, MS 39046-7006 | 2020-08-18 |
| 1891303699 | Kimberly Walker | Physical Therapist | 936 Pocahontas Rd, Flora, MS 39071 | 2020-07-17 |
| 1215554423 | Kathryn Webb | Physical Therapist | 273a Whaley Dr, Holly Springs, MS 38635-3243 | 2020-07-03 |
| 1518584895 | Tamarian Strong | Physical Therapist | 22 Charleston Cir, Brandon, MS 39047-6141 | 2020-07-02 |
| 1124645684 | Champion Physical Therapy, LLC | Physical Therapist | 901 Lakeland Pl Ste 9, Flowood, MS 39232-6633 | 2020-07-01 |
| 1043836133 | Molly Bryan Davis | Physical Therapist | 154 Merritt Dr, Tupelo, MS 38801-9356 | 2020-06-24 |
| 1548886195 | Bryant Physical Therapy and Wellness | Physical Therapist | 1145 Spanish Oak Dr, Pearl, MS 39208-5069 | 2020-06-19 |
| Find all providers with the same taxonomy | ||||
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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.