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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: August 16, 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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAD FENNAR DPM
Podiatrist (Foot & Ankle Surgery)
1300 W 6TH ST, SUITE 2
SAN PEDRO, CA 90732
Los Angeles County (310) 831-0728
PREMIER HOME PHYSICAL THERAPY, INC
Clinic/Center (Physical Therapy)
1300 W 6TH ST, SUITE 3
SAN PEDRO, CA 90732
Los Angeles County (310) 519-1030
SAN PEDRO OB-GYN MEDICAL CORPORATION
Obstetrics & Gynecology
1300 W 6TH ST, SUITE 1
SAN PEDRO, CA 90732
Los Angeles County (310) 831-1266
DR. DAVID EDWARD RIVERA D.C.
Chiropractor
1300 W 6TH ST, SUITE 3
SAN PEDRO, CA 90732
Los Angeles County (310) 514-3740
MR. TERRY MICHAEL CHEN L.AC.
Acupuncturist
1300 W 6TH ST, #3
SAN PEDRO, CA 90732
Los Angeles County (310) 514-3737

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.

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.