# PREMIER PHYSICAL THERAPY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952669335
- **Authorized official:** MR. JUSTIN JON GWALTNEY MSPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (401) 596-1616

## Contact information

- **Practice address:** 50 AIRPORT RD, WESTERLY, RI 02891-3402
- **Practice address phone:** (401) 596-1616
- **Practice address fax:** (401) 596-1650
- **Mailing address:** 50 AIRPORT RD, WESTERLY, RI 02891-3402
- **Mailing address phone:** (401) 596-1616
- **Mailing address fax:** (401) 596-1650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 01993 | RI | Yes |

## Other

- **Enumeration date:** 04/24/2012
- **Last updated:** 04/24/2012