MEDICARE: PEOPLES PREMIER PHYSICAL THERAPY & WELLNESS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist
2	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1386449908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLES PREMIER PHYSICAL THERAPY & WELLNESS INC

Provider Business Mailing Address
First Line	:	4266 CREED AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-4502
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4266 CREED AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-4502
Country	:	US
Telephone Number	:	845-553-2281
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JUNIOR D SENAT
Credential	:
Telephone Number	:	323-393-0399

Provider Enumeration Date	:	02/18/2025
Last Update Date	:	05/05/2026

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