Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Premier Performance Physical Therapy and Sports Rehab

Organization Physical Therapist · NPI 1437646767

Premier Performance Physical Therapy and Sports Rehab provides Physical Therapist services in Deridder, Louisiana. Licensed in Louisiana. Registered with an NPI since 2018.

Licensed in
LA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

243 E 1st St
Deridder, LA 70634-4105
Phone: (936) 465-6282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 09007R (LA)
Physical Therapist Taxonomy 225100000X · Licence 08870R (LA)

Record details

NPI number1437646767
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Hearne — Physical Therapist · (936) 465-6282
NPI enumeratedApril 23, 2018
Last updated in NPPESApril 23, 2018
Mailing address192 La-3226, Deridder, LA 70634

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