Provider Demographics
NPI:1801246905
Name:PREMIER PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:PREMIER PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-553-7737
Mailing Address - Street 1:129 COMMERCIAL DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-4729
Mailing Address - Country:US
Mailing Address - Phone:630-553-7737
Mailing Address - Fax:630-553-7747
Practice Address - Street 1:129 COMMERCIAL DR
Practice Address - Street 2:SUITE 4
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-4729
Practice Address - Country:US
Practice Address - Phone:630-553-7737
Practice Address - Fax:630-553-7747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-20
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty