Active NPIOrganization

Premium Therapeutics

Occupational Therapist, Physical Rehabilitation in Sicklerville, New Jersey

NPI Number1114879558
Practice location
179 Breckenridge Dr, Sicklerville, NJ 08081-3240
Fax
—
Last updated
March 10, 2026

Premium Therapeutics is a healthcare organization based in Sicklerville, NJ. Premium Therapeutics practices in Sicklerville, NJ. The NPI Number for Premium Therapeutics is 1114879558. The current practice location address for Premium Therapeutics is 179 Breckenridge Dr, Sicklerville, NJ 08081-3240 and can be reached out via phone at 347-526-1502.

Provider Profile Details

NPI Number
1114879558
Provider Name
Premium Therapeutics
Provider Entity Type
Organization
Address
179 Breckenridge Dr, Sicklerville, NJ 08081-3240
Phone Number
347-526-1502
Organization Subpart
No
Authorized Official
Stanford Joseph, PTA · Owner · 347-526-1502
Provider Enumeration Date
February 10, 2026
Last Update Date
March 10, 2026
Certification Date
March 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
179 Breckenridge Dr
Sicklerville, NJ 08081-3240
Zip
08081-3240
Phone Number
347-526-1502
Sicklerville, NJ 08081Get directions →

Provider Business Mailing Address Details

Address
179 Breckenridge Dr
Sicklerville, NJ 08081-3240
City
Sicklerville
State
NJ
Zip
08081-3240
Phone Number
347-526-1502

License Information

Taxonomy
Occupational Therapist, Physical Rehabilitation · 225XP0019X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Premium Therapeutics?

The NPI number of Premium Therapeutics is 1114879558. It was assigned on February 10, 2026 and is currently active in the NPPES registry.

What is the specialty of Premium Therapeutics?

Premium Therapeutics is registered under the primary taxonomy Occupational Therapist, Physical Rehabilitation (code 225XP0019X).

Where does Premium Therapeutics practice?

The practice location is 179 Breckenridge Dr, Sicklerville, NJ 08081-3240. The office can be reached at 347-526-1502 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114879558 directly on the NPPES registry website.

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