Premier Pediatric Therapy Associates is a
Clinic/center - Multi-specialty based in Dekalb, Illinois. Premier Pediatric Therapy Associates is licensed to practice in * (Not Available) (license number ) and their current practice location is
3115 Wolf Ct, Dekalb, Illinois. It can be reached at their office (for appointments etc.) via phone at
(815) 501-5217.
NPI number for Premier Pediatric Therapy Associates is 1063269058 and their current mailing address is 3115 Wolf Ct, Dekalb, Illinois. Premier Pediatric Therapy Associates
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1063269058.
Healthcare Provider's Profile
Full Name | Premier Pediatric Therapy Associates |
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Type | Facility |
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Speciality | Clinic/center - Multi-specialty |
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Location | 3115 Wolf Ct, Dekalb, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063269058
- Provider Enumeration Date: 05/06/2024
- Last Update Date: 05/06/2024
Medical Identifiers
Medical identifiers for Premier Pediatric Therapy Associates such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063269058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Premier Pediatric Therapy Associates is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Premier Pediatric Therapy Associates 3115 Wolf Ct, Dekalb, IL 60115-8257 Ph: (815) 501-5217 | Premier Pediatric Therapy Associates 3115 Wolf Ct, Dekalb, IL 60115-8257 Ph: (815) 501-5217 |
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