=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881907780
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PREMIER CARE PHYSICAL THERAPY, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/20/2010
-----------------------------------------------------
Last Update Date | 07/20/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 55 STURGIS RD
-----------------------------------------------------
City | MONTICELLO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12701
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-794-1509
-----------------------------------------------------
Fax | 845-794-1509
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 412 DINGLE DAISY RD
-----------------------------------------------------
City | MONTICELLO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12701-4744
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-794-1509
-----------------------------------------------------
Fax | 845-794-1509
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICAL THERAPIST
-----------------------------------------------------
Name | DR. MICHAEL JOSEPH PARLAPIANO
-----------------------------------------------------
Credential | PT
-----------------------------------------------------
Telephone | 845-794-1509
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number | 024600-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------