PREMIER PHYSICAL MEDICINE & REHABILITATION, PC (NPI# 1245482454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245482454 |
| Entity Type | Organization |
| Organization Name | PREMIER PHYSICAL MEDICINE & REHABILITATION, PC |
| Practice Address |
56b Merrick Road Valleystream NY 11580 |
| Practice Telephone | 5165933030 |
| Mailing Telephone | 5165933030 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |
| Authorized Official Name | DR. RAJ TOLAT (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5165933030 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
207587 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | WORKER'S COMPENSATION | 207587-7W | 01 |
| NY | 02105008 | 05 |
| Street Address |
56B MERRICK ROAD |
| City | VALLEYSTREAM |
| State | NY |
| Zip Code | 11580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| Find all providers in zip 11580 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926743 | Revay O Corbett | Physical Medicine & Rehabilitation | 185 Noble St, Brentwood, NY 11717-6512 | 2020-06-08 |
| 1760011910 | Presnel Dalmeus Jr. | Physical Medicine & Rehabilitation | 700 Health Sciences Dr, Stony Brook, NY 11790-3337 | 2020-04-08 |
| 1417593336 | Andrew Stephen Ward | Physical Medicine & Rehabilitation | 295 Madison Ave Rm 1026, New York, NY 10017-7725 | 2019-11-26 |
| 1699337188 | Dominic Anthony Violi | Physical Medicine & Rehabilitation | 200 Beacon Hill Dr Apt 9a, Dobbs Ferry, NY 10522-7064 | 2019-07-03 |
| 1518520949 | Forest Hills Acupuncture & Physical Therapy Pllc | Physical Medicine & Rehabilitation | 11045 Queens Blvd Ste 106, Forest Hills, NY 11375-5519 | 2019-04-22 |
| 1851819023 | Fam Physical Therapy of Miller Place PC | Physical Medicine & Rehabilitation | 275 Route 25a, Miller Place, NY 11764-2427 | 2017-09-07 |
| 1245755883 | Yitzchak Shollar | Physical Medicine & Rehabilitation | 3226 Kings Hwy, Brooklyn, NY 11234-2617 | 2017-08-04 |
| 1184147449 | Brooklyn Spine and Sports Medicine P.C. | Physical Medicine & Rehabilitation | 415 Grand New York Street, Apt E1707, New York, NY 10002 | 2017-07-19 |
| 1841712296 | New York University | Physical Medicine & Rehabilitation | 1991 Marcus Ave Ste 306, New Hyde Park, NY 11042-2058 | 2017-07-07 |
| 1235518143 | Erin B Chapman | Physical Medicine & Rehabilitation | 350 New Campus Drive, Brockport, NY 14420 | 2015-05-26 |
| Find all providers with the same taxonomy | ||||
| City | VALLEYSTREAM |
| Zip Code | 11580 |
Please comment or provide details below to improve the information on PREMIER PHYSICAL MEDICINE & REHABILITATION, PC.
| 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.