NORTHWEST PHYSICAL THERAPY AND WELLNESS CENTER, LLC (NPI# 1235630500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235630500 |
| Entity Type | Organization |
| Organization Name | NORTHWEST PHYSICAL THERAPY AND WELLNESS CENTER, LLC |
| Practice Address |
7618 Ogontz Ave Fl 1 Philadelphia PA 19150-1817 |
| Mailing Address |
93 Old York Rd Ste 1-756 Jenkintown PA 19046-3925 |
| Practice Telephone | 2152241494 |
| Practice Fax Number | 2152241495 |
| Mailing Telephone | 2152940612 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |
| Authorized Official Name | EDWARD J ALEXANDER (CEO AND ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 2152940612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | PA | Allopathic & Osteopathic Physicians |
| Street Address |
7618 OGONTZ AVE FL 1 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19150-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821589615 | Covenant House, Inc | Clinic/Center | 2385 W Cheltenham Ave., Philadelphia, PA 19150 | 2018-05-29 |
| 1326553074 | Prime Health Pharmacy LLC | Pharmacy | 1514 Wadsworth Ave, Philadelphia, PA 19150 | 2017-12-04 |
| 1609319797 | Ivy Hill Rehab Center LLC | Skilled Nursing Facility | 140 Ivy Hill Road, Wyndmoor, PA 19150 | 2016-11-22 |
| 1831563857 | Kutest Kids | Early Intervention Provider Agency | 7811 Cedarbrook Avenue, Philadelphia, PA 19150 | 2015-11-16 |
| 1487044020 | Stefanie Black | Pharmacy Technician | 2527 Target Pharmacy, Philadelphia, PA 19150 | 2015-02-04 |
| 1003206590 | Fatima Jackson | Pharmacy Technician | 2527 Shoppers Lane, Cheltenham Square Mall, Philadelphia, PA 19150 | 2015-02-04 |
| 1215351762 | Hilltop Medical Associates, PC | General Practice | 2350 W. Cheltenham Ave, Philadelphia, PA 19150 | 2014-02-04 |
| 1801219472 | Fatima Bangura | Registered Nurse | Excel Medical Center, LLC, 7515 Stenton Avenue, Philadelphia, PA 19150 | 2014-02-01 |
| 1386082089 | Enjalee Jennifer Thomas-finnagan | Behavioral Analyst | 8324 Temple Rd, Phila, PA 19150 | 2013-06-05 |
| 1235572538 | Blessy Mathew | Nurse Practitioner | 2385 Cheltenham Avenue, Philadelphia, PA 19150 | 2013-04-17 |
| Find all providers in zip 19150 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407899404 | Joyce Monica Williams | Neuromusculoskeletal Medicine, Sports Medicine | 2449 Golf Rd, Suite 11, Philadelphia, PA 19131-1475 | 2006-06-14 |
| 1508803453 | Albert Simbul Salvador | Neuromusculoskeletal Medicine, Sports Medicine | 2112 S 7th St, Philadelphia, PA 19148-3213 | 2006-05-31 |
| 1659339232 | Corey Kades Ruth | Neuromusculoskeletal Medicine, Sports Medicine | 1500 Market Street, 24th Floor-west Tower, Philadelphia, PA 19102 | 2006-05-03 |
| 1225662620 | Madison Lohr | Neuromusculoskeletal Medicine, Sports Medicine | 1800 N Broad St, Philadelphia, PA 19121-3302 | 2020-02-25 |
| 1629456157 | Nicholas Adams | Neuromusculoskeletal Medicine, Sports Medicine | 1800 N Broad St, Philadelphia, PA 19121-3302 | 2015-05-17 |
| 1700149895 | Shaista Alam | Neuromusculoskeletal Medicine, Sports Medicine | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2012-06-22 |
| 1982832184 | Paul Louis Schraeder | Neuromusculoskeletal Medicine, Sports Medicine | 241 S 6th St, #2010, Philadelphia, PA 19106-3727 | 2009-06-25 |
| 1174658793 | Alphonse Joseph Digiovanni | Neuromusculoskeletal Medicine, Sports Medicine | 2821 Island Ave, Philadelphia, PA 19153-2300 | 2007-02-22 |
| 1013086917 | Darren C Mcauley | Neuromusculoskeletal Medicine, Sports Medicine | 4190 City Ave, Philadelphia, PA 19131-1626 | 2006-11-06 |
| 1487683272 | Renzi Medical, PC | Neuromusculoskeletal Medicine, Sports Medicine | 1324 W Ritner St, Philadelphia, PA 19148-3535 | 2006-07-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19150 |
Please comment or provide details below to improve the information on NORTHWEST PHYSICAL THERAPY AND WELLNESS CENTER, LLC.
| 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.