PREMIER PHYSICAL THERAPY, LLC
NPI 1053523209
Physical Therapist in Woodville, MS
About Premier Physical Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER PHYSICAL THERAPY, LLC (NPI 1053523209) is a healthcare organization registered as a physical therapist in Woodville, Mississippi and active in the NPI registry since May 2007. The organization lists Gary Russell Johnson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premier Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Physical Therapy, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Premier Physical Therapy, LLC's NPI number?
The NPI number for Premier Physical Therapy, LLC is 1053523209. It was assigned to this organization in the NPPES registry on May 3, 2007.
Where is Premier Physical Therapy, LLC located?
Premier Physical Therapy, LLC is located at 558 1st South St, Woodville, MS 39669. The listed phone number is (601) 888-7944.
What is Premier Physical Therapy, LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Premier Physical Therapy, LLC enrolled in Medicare?
Yes. Premier Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.
What insurance does Premier Physical Therapy, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Premier Physical Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Premier Physical Therapy, LLC was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.