Premier Health Center, P.C.
NPI 1134170103ActiveOrganization· Physical Therapist· Hackensack, NJ
Physical Therapist in Hackensack, New Jersey, registered in NPPES in May 2006. The authorized official on file is Phillip S. Kim, D.C., President. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1134170103 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2006 |
| Last updated in NPPES | Oct 22, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA01062200 | NJ |
| Chiropractor | 111N00000X | 38MC00576300 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NJ) |
|---|
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