INDUSTRICARE PHYSICAL REHABILITATION PC (NPI# 1023243086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023243086 |
| Entity Type | Organization |
| Organization Name | INDUSTRICARE PHYSICAL REHABILITATION PC |
| Practice Address |
1900 S Broad St Philadelphia PA 19145-2304 |
| Practice Telephone | 2153394260 |
| Practice Fax Number | 2153394276 |
| Mailing Telephone | 2153394260 |
| Mailing Fax Number | 2153394276 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |
| Authorized Official Name | DR. JAMES FRANCIS BONNER (OWNER) |
| Authorized Official Telephone | 6104903900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | MD034149L | PA | Allopathic & Osteopathic Physicians |
| Y | 111N00000X | Chiropractor | DC029478 | PA | Chiropractic Providers |
| Street Address |
1900 S BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609871318 | St. Agnes Long Term Intensive Care, LLP | Long Term Care Hospital | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2005-06-17 |
| 1629405303 | Daisy Tran | Nurse Practitioner | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2013-09-26 |
| 1831395961 | Matthew A Greene | Physical Therapist | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2007-06-25 |
| 1730398348 | Kristin M Siegel | Physical Therapist | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2007-05-21 |
| 1881738565 | Saint Agnes Continuing Care Center | PACE Provider Organization | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2007-02-16 |
| 1477628485 | Mobile Wound Consultants | Surgery | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2006-11-22 |
| 1447320551 | A David Mingle | Family Medicine | 1900 S Broad St, St Agnes Life, Philadelphia, PA 19145-2304 | 2006-11-08 |
| 1497839054 | Donna Brady Raziano | Internal Medicine | 1900 S Broad St, Life, Philadelphia, PA 19145-2304 | 2006-10-24 |
| 1710081583 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2006-09-12 |
| 1043232457 | Adena Greenberg | Pediatrics | 1900 S Broad St, 2nd Flr, Philadelphia, PA 19145 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628540 | Citywide North, PC | Chiropractor | 2304-a North Broad Street, Philadelphia, PA 19132-4563 | 2020-10-26 |
| 1598313488 | Dev Avinash Rajhansa | Chiropractor | 101 W Allens Ln, Philadelphia, PA 19119-4101 | 2019-09-03 |
| 1861059859 | Joshua James Kramarenko | Chiropractor | 1608 Walnut St Ste 601, Philadelphia, PA 19103-5447 | 2019-05-24 |
| 1306409024 | Danielle Louise Walsh | Chiropractor | 3500 Scotts Ln Ste 215, Philadelphia, PA 19129-1836 | 2019-04-18 |
| 1952868804 | Yoon Sang Song | Chiropractor | 6115 Woodland Ave, Philadelphia, PA 19142-2418 | 2019-02-27 |
| 1104381011 | Anthony James Havens Jr. | Chiropractor | 6006 Chestnut St Fl 1, Philadelphia, PA 19139-3044 | 2019-02-05 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1710467626 | Darin Mathew Daniel | Chiropractor | 2216 W Passyunk Ave, Philadelphia, PA 19145-3318 | 2018-08-20 |
| 1780184952 | Chelsea Ann Mclane | Chiropractor | 430 Green Ln, Philadelphia, PA 19128-3304 | 2018-02-14 |
| 1881193860 | Pa Pain and Rehab | Chiropractor | 6325 Woodland Avenue, Philadelphia, PA 19142 | 2018-02-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
Please comment or provide details below to improve the information on INDUSTRICARE PHYSICAL REHABILITATION PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.