PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD – Physical Therapist, NPI 1174842686

PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD is a healthcare provider. based in West chester, Pennsylvania. specializing in Physical Therapist. The NPI Number for PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD is 1174842686

Main info

Organization
Name
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
NPI
1174842686
Phone
(610) 359-6571
Address
PO BOX 5228
Authorized Official
DARLENE BUDDY CREDENTIALING COORDINATOR
Enumeration Date
24 May 2010
Last Update Date
10 February 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:16State licenses:0Digital endpointsOther names

Provider Addresses for PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD

  • PO BOX 5228

    WEST CHESTER, PA 193800405

    Phone: (610) 359-6571

    Type: Mailing

  • 501 MACDADE BLVD

    FOLSOM, PA 190333203

    Phone: (610) 586-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (834 days ago).

Enrollment records

1

Earliest due date

2024-02-29

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930072529OIndependently-Practicing Physical TherapistPA2024-02-29

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19380)

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Reviews

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Frequently asked questions

What identifier follows PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD across health systems?
The NPI 1174842686 uniquely identifies PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD in U.S. healthcare data.
Should I treat PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD as an active provider?
Patients and plans typically see PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD as active in the national extract.
What services align with PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD's listing?
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD?
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD shows a connection to West Chester, Pennsylvania in registry-derived data.
Who maintains PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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