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PREMIER PHYSICAL THERAPY AND WELLNESS CLINIC INC.
NPI 1225379597
Specialist in San Pedro, CA

Active since March 11, 2013
1300 W 6TH ST, SUITE 3, SAN PEDRO, CA 90732(310) 217-9088 Get Directions Write a Review

NPPES record last updated: March 6, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Premier Physical Therapy And Wellness Clinic Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER PHYSICAL THERAPY AND WELLNESS CLINIC INC. (NPI 1225379597) is a healthcare organization registered as a specialist in San Pedro, California and active in the NPI registry since March 2013. The organization lists John Anthony Berkovich, Owner, as its authorized official.

NPPES Registry Identity

NPI1225379597
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePREMIER PHYSICAL THERAPY AND WELLNESS CLINIC INC.
Location Address1300 W 6TH ST, SUITE 3San Pedro, CA 90732-3531
Mailing Address1300 W 6th St Ste 3San Pedro, CA 90732-3531 · (310) 519-1030 · Fax (310) 519-0194
Phone(310) 217-9088
Organization SubpartNo
Authorized OfficialJohn Anthony BerkovichOwner · (310) 519-1030
Enumeration DateMarch 11, 2013
Last NPPES UpdateMarch 6, 2018
✔ NPI 1225379597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · PT26104
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1300 W 6TH ST, San Pedro, CA 90732
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Other Identifiers 1

OtherDL193ACA · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Physical Therapy And Wellness Clinic Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Physical Therapy And Wellness Clinic Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

John Berkovich, PT
Physical Therapist in Private Practice
NPI 1407073133
3146 CROWNVIEW DRIVE
Rancho Palos Verdes, CA 90275
(310) 548-6896
1.7 mi

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 And Wellness Clinic Inc.'s NPI number?

The NPI number for Premier Physical Therapy And Wellness Clinic Inc. is 1225379597. It was assigned to this organization in the NPPES registry on March 11, 2013.

Where is Premier Physical Therapy And Wellness Clinic Inc. located?

Premier Physical Therapy And Wellness Clinic Inc. is located at 1300 W 6th St Suite 3, San Pedro, CA 90732. The listed phone number is (310) 217-9088.

What is Premier Physical Therapy And Wellness Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Premier Physical Therapy And Wellness Clinic Inc. enrolled in Medicare?

Yes. Premier Physical Therapy And Wellness Clinic Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Physical Therapy And Wellness Clinic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Premier Physical Therapy And Wellness Clinic Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Physical Therapy And Wellness Clinic Inc. was last updated on March 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.