MTC WELLNESS, LLC (NPI# 1720641491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720641491 |
Entity Type | Organization |
Organization Name | MTC WELLNESS, LLC |
Practice Address |
280 Ripka St Philadelphia PA 19127-1125 |
Practice Telephone | 2675717615 |
Mailing Telephone | 2675717615 |
Enumeration Date | 2019-04-18 |
Last Update Date | 2020-09-03 |
Authorized Official Name | MARGARET COLEMAN (OWNER) |
Authorized Official Telephone | 2675717615 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Address | Telephone Number | Fax Number |
---|---|---|
1015 Chestnut St Ste 403, Philadelphia, PA 191074304 | 2157322306 |
Street Address |
280 RIPKA ST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19127-1125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477197218 | Karen M Johnson | Social Worker | 4001 Main Street, Suite 202, Philadelphia, PA 19127 | 2019-11-05 |
1801363304 | Associates for Well-being | Psychologist | 4001 Main Street, Suite 202, Philadelphia, PA 19127 | 2018-11-01 |
1033690920 | Extremity Care, LLC | Durable Medical Equipment & Medical Supplies | 3901 Main Street, Suite 101a, Philadelphia, PA 19127 | 2018-08-28 |
1275062549 | Jamie Mae Cunningham | Specialist/Technologist | 153 East Street, Philadelphia, PA 19127 | 2017-06-08 |
1073957957 | Sarah Alice Sall | Massage Therapist | 4600 Smick Street, Philadelphia, PA 19127 | 2013-04-23 |
1710245303 | Marie C Croghan | Occupational Therapist | 4601 Flat Rock Road, Apt. 514, Philadelphia, PA 19127 | 2012-05-02 |
1396938288 | Lisa Erin Starke | Occupational Therapist | 169 Conarroe St, Philadelphia, PA 19127 | 2007-08-23 |
1700448511 | Stefan Markovic | Family Medicine | 10 Shurs Ln, #203, Philadelphia, PA 19127 | 2019-07-01 |
1467912642 | Healing Energy Homecare, LLC | In Home Supportive Care | 4001 Main St, Ste 210, Philadelphia, PA 19127 | 2019-03-22 |
1962015537 | Joanna Elizabeth Vanore | Social Worker | 4725 Sheldon St, Philadelphia, PA 19127-1008 | 2020-08-24 |
Find all providers in zip 19127 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1366870842 | Drexel University | Clinic/Center | 1601 Cherry St Fl 2, Parkway Health & Wellness Ms21041, Philadelphia, PA 19102-1306 | 2013-10-21 |
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1497389969 | Dynamic Injury Solutions, LLC | Clinic/Center | 2487 Grant Ave, Philadelphia, PA 19114-1004 | 2020-02-24 |
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1639730823 | Dynamic Injury Solutions, LLC | Clinic/Center | 841 E Allegheny Ave, Philadelphia, PA 19134-2401 | 2019-06-27 |
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Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19127 |
Please comment or provide details below to improve the information on MTC WELLNESS, 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.