| Organization Name: | PREMIER PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC |
| NPI Number: | 1619033784 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICK R. WILLIAMS (MEMBER) |
| Mailing Address: | 200 Cleaver Farm Rd Suite 400 Middletown |
| State: | DE US |
| Postal Code: | 197091630 |
| Phone Number: | 3024492048 |
| Fax Number: | 3024492047 |
| NPI Enumeration Date: | 12/31/2006 |
| NPI Last Update Date: | 09/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2006601908 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |