REDICLINIC OF PA, LLC (NPI# 1063891075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063891075 |
| Entity Type | Organization |
| Organization Name | REDICLINIC OF PA, LLC |
| Practice Address |
2000 Hamilton St Philadelphia PA 19130-3814 |
| Mailing Address |
9 Greenway Plz Ste. 2950 Houston TX 77046-0905 |
| Practice Telephone | 2155672017 |
| Practice Fax Number | 2155630418 |
| Mailing Telephone | 7133351742 |
| Mailing Fax Number | 7133584881 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |
| Authorized Official Name | DANIELLE BARRERA (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7135809489 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013543099 | Rediclinic of Pa, LLC | Clinic/Center | 5707 Easton Rd, Pipersville, PA 18947-1823 | 2020-03-21 |
| 1487004503 | Rediclinic of Pa, LLC | Clinic/Center | 27 N 7th St, Suite 100, Allentown, PA 18101-1357 | 2016-06-20 |
| 1326417825 | Rediclinic of Pa, LLC | Clinic/Center | 41 S. West End Blvd, Quakertown, PA 18951-1189 | 2015-09-15 |
| 1568849198 | Rediclinic of Pa, LLC | Clinic/Center | 800 Bustleton Pike Ste A10, Richboro, PA 18954-1360 | 2015-05-04 |
| 1689051336 | Rediclinic of Pa, LLC | Clinic/Center | 1535 W Chester Pike, West Chester, PA 19382-7705 | 2015-05-01 |
| 1386021087 | Rediclinic of Pa, LLC | Clinic/Center | 1035 County Line Rd., Southampton, PA 19006-1206 | 2015-05-01 |
| 1407233125 | Rediclinic of Pa, LLC | Clinic/Center | 7418-32 Oxford Avenue, Philadelphia, PA 19111-3023 | 2015-05-01 |
| 1467854190 | Rediclinic of Pa, LLC | Clinic/Center | 1860 Brownsville Road, Trevose, PA 19053-3502 | 2014-09-25 |
| 1528460201 | Rediclinic of Pa, LLC | Clinic/Center | 950 East Baltimore Pike, Yeadon, PA 19050-2702 | 2014-09-24 |
| 1215387311 | Rediclinic of Pa, LLC | Clinic/Center | 500 Chesterbrook Blvd, Suite B11, Chesterbrook, PA 19087-5603 | 2016-06-20 |
| Street Address |
2000 HAMILTON ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19130-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972551539 | Alexis Sloan Lieberman | Pediatrics | 2000 Hamilton St, #109, Philadelphia, PA 19130-3814 | 2006-05-05 |
| 1396230736 | Davine L Mercado | Nurse Practitioner | 2000 Hamilton St, Philadelphia, PA 19130-3814 | 2018-06-28 |
| 1932622628 | Carol Kaminski | Speech-Language Pathologist | 2000 Hamilton St, Philadelphia, PA 19130-3814 | 2017-07-25 |
| 1770023509 | Maternity Care Coalition | Case Management | 2000 Hamilton St, Suite 205, Philadelphia, PA 19130-3814 | 2017-02-27 |
| 1124572854 | Andros Frailey Hazipetros | Pharmacist | 2000 Hamilton St, Philadelphia, PA 19130-3814 | 2016-08-10 |
| 1265885172 | Rite Aid | Pharmacist | 2000 Hamilton St, Philadelphia, PA 19130-3814 | 2016-07-14 |
| 1144694118 | Christie Quigley | Registered Nurse | 2000 Hamilton St, Philadelphia, PA 19130-3814 | 2015-11-13 |
| 1528454568 | Jennifer Kristin Berkowitz | Nurse Practitioner | 2000 Hamilton St, Philadelphia, PA 19130 | 2015-04-07 |
| 1770978702 | Life Health Strength Physical Rehabilitation LLC | Clinic/Center | 2000 Hamilton St, Philadelphia, PA 19130-3814 | 2015-04-06 |
| 1215340435 | Diana Christe Glinski | Pharmacist | 2000 Hamilton St, Philadelphia, PA 19130-3814 | 2014-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1619444577 | Rebecca Boova | Dietitian, Registered | 1644 Francis St, #3, Philadelphia, PA 19130 | 2018-10-30 |
| 1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
| 1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
| 1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
| 1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
| 1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
| 1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
| Find all providers in zip 19130 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820754 | The Nava Center, Inc. | Clinic/Center | 1334 S 18th St, Philadelphia, PA 19146-4647 | 2020-11-01 |
| 1023620135 | Neshoba County General Hospital-nursing Home | Clinic/Center | 406 Stribling St, Philadelphia, MS 39350-3344 | 2020-08-19 |
| 1043775711 | New Vitae, Inc. | Clinic/Center | 27 S. 55th Street, Philadelphia, PA 19139-3247 | 2019-02-06 |
| 1184132219 | Neshoba County General Hospital | Clinic/Center | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 | 2018-01-10 |
| 1699288142 | Rogers Memorial Hospital Inc | Clinic/Center | 1 Winding Dr Ste 106, Philadelphia, PA 19131-2907 | 2017-11-07 |
| 1952753238 | American Rehabilitation Counseling Center LLC | Clinic/Center | 8305-15 Ridge Ave, Philadelphia, PA 19128-1722 | 2016-07-11 |
| 1750736088 | Mark Wilson | Clinic/Center | 5313 Ogden St, Philadelphia, PA 19139-1438 | 2016-04-23 |
| 1023485265 | Greater Philadelphia Health Action Inc. | Clinic/Center | 1408 S. Broad St., 2nd Floor, Philadelphia, PA 19146-4808 | 2015-08-24 |
| 1407233125 | Rediclinic of Pa, LLC | Clinic/Center | 7418-32 Oxford Avenue, Philadelphia, PA 19111-3023 | 2015-05-01 |
| 1912397118 | Physical Corrective Solutions, LLC | Clinic/Center | 2644 Lefevre St Ste A, Suite A, Philadelphia, PA 19137-1733 | 2015-01-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19130 |
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| 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.