{"npi":"1386173656","type":"NPI-2","status":"active","name":{"display":"Premier Medical Rehab Group LLC","other":[],"organization_name":"PREMIER MEDICAL REHAB GROUP LLC","authorised_official":"Jordan Klein"},"specialty":{"primary_taxonomy":"208100000X","primary_taxonomy_description":"Physical Medicine & Rehabilitation","slug":"physical-medicine-rehabilitation","schema_org_specialty":"Musculoskeletal","all":[{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"11411 ARMSDALE RD","city":"JACKSONVILLE","state":"FL","postal_code":"322183311","country_code":"US","phone":"9047143793"},{"purpose":"MAILING","street_1":"12864 BISCAYNE BLVD # 442","city":"NORTH MIAMI","state":"FL","postal_code":"331812007","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20171208001646","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"0244597714"},{"enrlmt_id":"O20201029000763","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"0244597714"}]},"enumeration_date":"2017-06-08","last_updated":"2018-11-09","_meta":{"source":"NPPES","snapshot_date":"2018-11-09","doc_url":"https://findmynpi.com/api"}}