PREMIER ORTHOPAEDIC AND SPORTS MEDICINE (NPI# 1669718714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669718714 |
| Entity Type | Organization |
| Organization Name | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE |
| Other Organization Name | PAOLI PHYSICAL THERAPY |
| Practice Address |
266 Lancaster Ave Suite 200 Malvern PA 19355-3256 |
| Mailing Address |
525 W Chester Pike Suite 202 Havertown PA 19083-4500 |
| Practice Telephone | 6106404133 |
| Mailing Telephone | 6104468410 |
| Mailing Fax Number | 6104468554 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |
| Authorized Official Name | MR. JEFFREY MALUMED (PRESIDENT) |
| Authorized Official Telephone | 6105219996 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Paoli Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104169143 | Premier Orthopaedic and Sports Medicine | Durable Medical Equipment & Medical Supplies | 931 E Haverford Rd, Suite 201, Bryn Mawr, PA 19010-3838 | 2013-03-28 |
| Street Address |
266 LANCASTER AVE SUITE 200 |
| City | MALVERN |
| State | PA |
| Zip Code | 19355-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225023138 | Jason Roy Miller | Podiatrist | 266 Lancaster Ave, Suite 200, Malvern, PA 19355-3256 | 2005-09-16 |
| 1306295167 | Melani Sophocles Mcguire | Nurse Practitioner | 266 Lancaster Ave, #301, Malvern, PA 19355-3256 | 2016-06-11 |
| 1952702581 | Amy Harr | Specialist/Technologist | 266 Lancaster Ave, Suite 200, Malvern, PA 19355-3256 | 2014-09-15 |
| 1740699966 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Durable Medical Equipment & Medical Supplies | 266 Lancaster Ave, Suite 200, Malvern, PA 19355-3256 | 2014-08-13 |
| 1922341965 | Premier Orthopaedic and Sports Medicine Assoc | Orthopaedic Surgery | 266 Lancaster Ave, Suite 201, Malvern, PA 19355-3256 | 2013-03-28 |
| 1033484621 | Advanced Spine and Sports Therapy Center LLC | Physical Therapist | 266 Lancaster Ave, Suite 200, Malvern, PA 19355-3256 | 2012-03-14 |
| 1679844419 | Advanced Rheumatology | Specialist | 266 Lancaster Ave, Suite 200, Malvern, PA 19355-3256 | 2012-01-25 |
| 1568607802 | Louis Joseph Ciliberti Jr. | Podiatrist | 266 Lancaster Ave, Suite 200, Malvern, PA 19355-3256 | 2008-12-15 |
| 1912150202 | Tracy M Shank | Occupational Therapist | 266 Lancaster Ave, Suite 200, Malvern, PA 19355-3256 | 2008-10-30 |
| 1932356896 | Jamie I Hill | Physician Assistant | 266 Lancaster Ave, Suite 200, Malvern, PA 19355-3256 | 2008-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218044 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 30 Liberty Boulevard, Suite 140, Malvern, PA 19355 | 2019-08-01 |
| 1871011122 | Mary Margaret Bischoff | Psychologist | 922 St. Andrews Dr., Malvern, PA 19355 | 2017-09-07 |
| 1114449527 | Reconstructive Orthopaedic Associates II, P.C. | Prosthetic/Orthotic Supplier | 650 Carnegie Boulevard, 2nd Floor, Malvern, PA 19355 | 2017-07-07 |
| 1285169243 | Smile Exchange of Malvern, LLC | Clinic/Center | 5 S. Morehall Rd, Suite 700b, Malvern, PA 19355 | 2017-04-27 |
| 1669849162 | Sahar Akhtar | Counselor | 288 Lancaster Ave Ste 1, Frazer, PA 19355 | 2015-08-31 |
| 1386020030 | Laura Ann Treston | Physical Therapy Assistant | 60 Malvern Ave., Malvern, PA 19355 | 2015-08-05 |
| 1003217191 | Hillary Schmid | Behavioral Analyst | 28 Clover Lane, Malvern, PA 19355 | 2014-09-09 |
| 1033528799 | James Greco | Pharmacist | 50 Three Tun Rd Ste 2, Malvern, PA 19355 | 2014-08-07 |
| 1952712085 | Rachael Joseph | Community/Behavioral Health | 45 Kelmar Avenue, Malvern, PA 19355 | 2014-05-12 |
| 1487081808 | Ronia Arabatlian | Social Worker | 1 North Bacton Rd, 107, Malvern, PA 19355 | 2013-09-30 |
| Find all providers in zip 19355 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255386280 | Premier Rehabilitation Center Inc | Physical Therapist | 254 Lancaster Ave, Malvern, PA 19355-3087 | 2006-05-25 |
| 1073531216 | Kraig Randolph Gualtieri | Physical Therapist | 266 Lancaster Ave, Malvern, PA 19355-3256 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182297 | Austin Taylor Lloyd | Physical Therapist | 1107 E Erie Ave Ste 11, Philadelphia, PA 19124-5423 | 2020-10-26 |
| 1700483385 | Freedom Physical Therapy & Performance | Physical Therapist | 868 N U.S. 15, Dillsburg, PA 17019 | 2020-10-06 |
| 1336755388 | Katherine Mccurdy | Physical Therapist | 475 Allendale Rd Ste 205, King of Prussia, PA 19406-1495 | 2020-09-16 |
| 1902419906 | Melinda Steimling | Physical Therapist | 306 S New St Ste 202, Bethlehem, PA 18015-1652 | 2020-08-28 |
| 1043828502 | Diane Marilyn Zimardo | Physical Therapist | 1575 Bannister St Ste 4, York, PA 17404-4946 | 2020-07-21 |
| 1942821913 | Nolan Weaver | Physical Therapist | 1426 Frankford Ave, Philadelphia, PA 19125-4410 | 2020-05-01 |
| 1265052815 | Kristen M Markle | Physical Therapist | 796 Mill Rd, Spring Grove, PA 17362-9183 | 2020-04-23 |
| 1710510383 | Megan Gerhart | Physical Therapist | 1179 Welsh Rd, Lansdale, PA 19446-1358 | 2020-02-21 |
| 1841820214 | Maria Schweizerhof | Physical Therapist | 1438 Chestnut St Unit 3, Emmaus, PA 18049-1913 | 2020-01-24 |
| 1497391114 | Samantha Rosser | Physical Therapist | 261 Second Street Pike, Southampton, PA 18966-3833 | 2019-11-19 |
| 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.