JERRY A TOOMER (NPI# 1205228160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205228160 |
| Entity Type | Organization |
| Organization Name | JERRY A TOOMER |
| Practice Address |
1610 Cecil B Moore Ave Philadelphia PA 19121-3210 |
| Practice Telephone | 2156689661 |
| Mailing Telephone | 2156689661 |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |
| Authorized Official Name | MR. JERRY A TOOMER (OWNER) |
| Authorized Official Telephone | 2156689661 |
| Authorized Official Credential | PHYSICAL THERAPI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
DAPT000805 | PA | Ambulatory Health Care Facilities |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT002819L | PA | Ambulatory Health Care Facilities |
| Street Address |
1610 CECIL B MOORE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19121-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975445 | Shaun Shields | Specialist/Technologist | 1814 N. Broad Street, Philadelphia, PA 19121 | 2020-02-27 |
| 1225682503 | Ebony Qiana Morrison | Technician | 2202 Ridge Avenue, 2nd Floor Rm 203, Philadelphia, PA 19121 | 2019-07-25 |
| 1003398462 | Lyn Morrissa Meyerhoff | Specialist/Technologist | 1800 N. Broad Street, Philadelphia, PA 19121 | 2018-09-03 |
| 1356853576 | George E Kinsler | Pharmacist | 1941 N 24th St, Phila, PA 19121 | 2017-10-27 |
| 1205358652 | Perfect Love & Care LLC | Home Health | 1812 North Croskey Street, Philadelphia, PA 19121 | 2017-07-07 |
| 1427405257 | Rite-care Pharmacy Inc. | Pharmacy | 2213 Ridge Ave., Philadelphia, PA 19121 | 2016-05-23 |
| 1356735831 | Eguono Eduvie | Psychiatry & Neurology | 1700 N.broad St., 2nd Foor, Philadelphia, PA 19121 | 2015-03-24 |
| 1285986828 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St., Philadelphia, PA 19121 | 2012-10-05 |
| 1568764470 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St, Philadelphia, PA 19121 | 2010-11-29 |
| 1730408683 | Pamela Lewis | Registered Nurse | Serenity Court, 1221 N. 19th St., Philadelphia, PA 19121 | 2010-05-18 |
| Find all providers in zip 19121 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510936 | Ally Wellness LLC | Clinic/Center | 7 S 43rd St Apt 1, Philadelphia, PA 19104-3797 | 2020-05-22 |
| 1295378388 | Masters Rehabilitation Center | Clinic/Center | 9 N 52nd St, Philadelphia, PA 19139-2644 | 2019-10-22 |
| 1003391376 | Physiomove LLC | Clinic/Center | 10050 Roosevelt Blvd Unit 11, Philadelphia, PA 19116-3965 | 2018-10-02 |
| 1700307329 | Bones Fitness Partnerships | Clinic/Center | 1528 Walnut St Ste 300, Philadelphia, PA 19102-3626 | 2017-07-05 |
| 1659811354 | Ascend Orthopaedics | Clinic/Center | 1500 Walnut St Ste 7001a, Philadelphia, PA 19102-3523 | 2017-02-28 |
| 1689067472 | Mydoc Urgent Care | Clinic/Center | 1420 Locust St Unit R1a, Philadelphia, PA 19102-4223 | 2015-03-18 |
| 1568629681 | South Philadelphia Ps | Clinic/Center | 1 Reed St, Philadelphia, PA 19147-5501 | 2008-05-16 |
| 1356543615 | Pt-one, LLC | Clinic/Center | 1835 Market St, 2nd Floor, Philadelphia, PA 19103-2968 | 2007-05-31 |
| 1568581098 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 7000 Holstein Ave., Philadelphia, PA 19153 | 2007-03-28 |
| 1346297595 | Rehabnetwork,p.c | Clinic/Center | 5363 Oxford Ave, Philadelphia, PA 19124-1123 | 2006-05-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19121 |
Please comment or provide details below to improve the information on JERRY A TOOMER.
| 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.