PREMIER HOME PHYSICAL THERAPY, INC
NPI 1316367915
Clinic/Center - Physical Therapy in San Pedro, CA

Active since April 22, 2014
1300 W 6TH ST, SUITE 3, SAN PEDRO, CA 90732(310) 519-1030(310) 519-0194 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Physical Therapy

About PREMIER HOME PHYSICAL THERAPY, INC

This page provides the complete NPI Profile along with additional information for Premier Home Physical Therapy, Inc, a provider established in San Pedro, California operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1316367915 assigned on April 2014. The practitioner's primary taxonomy code is 261QP2000X with license number PT26104 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mr. John Anthony Berkovich (Physical Therapist)

NPI
1316367915 Verify this NPI
Provider Name
PREMIER HOME PHYSICAL THERAPY, INC
Entity Type
Organization
Location Address
1300 W 6TH ST SUITE 3 SAN PEDRO, CA 90732
Location Phone
(310) 519-1030
Location Fax
(310) 519-0194
Mailing Address
3146 CROWNVIEW DR RANCHO PALOS VERDES, CA 90275
Mailing Phone
(310) 918-0765
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2014
Last Update Date
04-22-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License No.
PT26104
License State
CA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOHN ANTHONY BERKOVICH

Authorized Official Title
PHYSICAL THERAPIST
Authorized Official Phone
(310) 918-0765

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PT26104OTHER (01)CAMEDICARE PTAN

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
1300 W 6TH ST, SUITE 2
SAN PEDRO, CA 90732
Chiropractor
1300 W 6TH ST, SUITE 3
SAN PEDRO, CA 90732
Acupuncturist
1300 W 6TH ST, #3
SAN PEDRO, CA 90732
Specialist
1300 W 6TH ST, SUITE 3
SAN PEDRO, CA 90732
Obstetrics & Gynecology
1300 W 6TH ST, SUITE 1
SAN PEDRO, CA 90732

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316367915, enumerated as an "organization" on April 22, 2014.

The provider is located at 1300 W 6TH ST SUITE 3 SAN PEDRO, CA 90732 and the phone number is (310) 519-1030.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.