Premier Physical Therapy PC
NPI 1336127117 · Physical Therapist · Evergreen Park, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Physical Therapy PC is a Physical Therapist organization in Evergreen Park, IL (NPI 1336127117).
Provider details
- NPI number
- 1336127117
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Krystal Vaughn, Credentialing Specialist(630) 920-4670
- License
- 070007675 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-03
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Frequently asked questions
- What is Premier Physical Therapy PC's NPI number?
- Premier Physical Therapy PC's National Provider Identifier (NPI) is 1336127117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Physical Therapy PC?
- Premier Physical Therapy PC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Premier Physical Therapy PC located?
- Premier Physical Therapy PC's practice location on file with NPPES is 3900 W 95th St, Evergreen Park, IL 60805.
- What is Premier Physical Therapy PC's phone number?
- The practice phone number listed in the NPPES registry for Premier Physical Therapy PC is (630) 920-4670.
- Does Premier Physical Therapy PC accept Medicare?
- Premier Physical Therapy PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Premier Physical Therapy PC?
- The authorized official listed on Premier Physical Therapy PC's NPPES record is Krystal Vaughn, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Physical Therapy PC's NPI active?
- Yes — Premier Physical Therapy PC's NPI (1336127117) is active in the NPPES registry as of the last update on 2024-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.