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Premier Physical Therapy PC

Physical Therapist in Evergreen Park, IL · enumerated 2006 · authorized official Krystal Vaughn, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336127117

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Registry record

Entity type Organization (Type 2)
Legal business name Premier Physical Therapy PC
Practice address 3900 W 95th St, Evergreen Park, IL, 60805
Fax (630) 920-4687
Enumeration date Jan 3, 2006
Last updated in NPPES Sep 17, 2024

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 070007675 (IL) Primary

Authorized official

Name Krystal Vaughn
Title Credentialing Specialist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Premier Physical Therapy PC?
NPPES lists Krystal Vaughn (Credentialing Specialist) as the authorized official for this organization.
What is the NPI number for Premier Physical Therapy PC?
The NPI for Premier Physical Therapy PC is 1336127117, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-17.