Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Premier Orthopaedic and Sports Medicine Associates Ltd

Organization Physical Medicine & Rehabilitation Physician · NPI 1770802969

Premier Orthopaedic and Sports Medicine Associates Ltd is a Physical Medicine & Rehabilitation Physician in Havertown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2010.

Licensed in
PA
In the registry since
2010
Specialties on file
4
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

525 W Chester Pike Ste 203
Havertown, PA 19083-4500
Phone: (610) 789-7767
Fax: (610) 789-7768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence MD070801L (PA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence MD430669 (PA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence OS009727L (PA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1770802969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Stott — Administrative Manager · (610) 359-5664
NPI enumeratedMay 27, 2010
Last updated in NPPESNovember 18, 2013
Mailing address525 W Chester Pike, Ste 203, Havertown, PA 19083-4500

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