ADVANTAGE MEDICAL & REHABILITATION PC (NPI# 1851551980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851551980 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE MEDICAL & REHABILITATION PC |
| Practice Address |
255 S 17th St 5th Floor Philadelphia PA 19103-6231 |
| Mailing Address |
Po Box 22708 Philadelphia PA 19110-2708 |
| Practice Telephone | 2157323450 |
| Practice Fax Number | 2155453360 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | MITCHELL C HARDING (OWNER) |
| Authorized Official Telephone | 5707640528 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD051973L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
255 S 17TH ST 5TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19103-6231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343438 | Joseph Salkowitz | Dentist | 255 S 17th St, Ste 1201, Philadelphia, PA 19103-6212 | 2005-06-02 |
| 1457959322 | Ghynecee Temple | Psychologist | 255 S 17th St, Philadelphia, PA 19103-6231 | 2020-10-13 |
| 1316400195 | Sara Morgen Mairs | Social Worker | 255 S 17th St, Philadelphia, PA 19103-6231 | 2019-04-09 |
| 1659807030 | Danielle Marie Siwek | Social Worker | 255 S 17th St, #1010, Philadelphia, PA 19103-6231 | 2017-05-04 |
| 1417481441 | Jenny Sandler | Social Worker | 255 S 17th St, Philadelphia, PA 19103-6231 | 2017-04-17 |
| 1801320262 | Melissa Dessereau LLC | Marriage & Family Therapist | 255 S 17th St, Philadelphia, PA 19103-6231 | 2017-04-12 |
| 1518498914 | Mary Chen | Marriage & Family Therapist | 255 S 17th St, Ste. 2200, Philadelphia, PA 19103-6231 | 2017-03-27 |
| 1710425640 | Zachary Holtzman-conston | Social Worker | 255 S 17th St, Philadelphia, PA 19103-6231 | 2017-02-11 |
| 1548707573 | Jade Logan | Psychologist | 255 S 17th St, Suite 2704, Philadelphia, PA 19103-6231 | 2017-01-29 |
| 1780136002 | Lisa Stepelevich | Counselor | 255 S 17th St, #2100, Philadelphia, PA 19103-6231 | 2016-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205071297 | Bethia A. Cawley | Physical Medicine & Rehabilitation | 2804 Southampton Rd, Philadelphia, PA 19154-1207 | 2008-12-05 |
| 1891953188 | Paris Hughes | Physical Medicine & Rehabilitation | 2447 N 54th St, Philadelphia, PA 19131-2423 | 2008-05-23 |
| 1093769614 | Zach Broyer | Physical Medicine & Rehabilitation | 925 Chestnut St., 5th Floor, Rothman Institute, Philadelphia, PA 19107-4216 | 2006-05-19 |
| 1063831584 | Milind Patel | Physical Medicine & Rehabilitation | 1800 Lombard Street, Philadelphia, PA 19146-1414 | 2014-04-11 |
| 1235575531 | Spinal Wellness | Physical Medicine & Rehabilitation | 2026 Chestnut St, Philadelphia, PA 19103-4446 | 2013-05-14 |
| 1609197052 | Christina Maria Gonzaga | Physical Medicine & Rehabilitation | 834 Chestnut St, T150, Philadelphia, PA 19107-5127 | 2010-06-21 |
| 1982837647 | Optimal Wellness & Body Sculpting Inc. | Physical Medicine & Rehabilitation | 601 Walnut St, Ll30, Philadelphia, PA 19106-3323 | 2009-08-28 |
| 1669635116 | Amy C Schneider Lyall | Physical Medicine & Rehabilitation | 925 Chestnut St, 5th Floor, Philadelphia, PA 19107-4216 | 2008-07-04 |
| 1932273018 | Michael A Metz | Physical Medicine & Rehabilitation | 3110 Grant Avenue, Philadelphia, PA 19114-2542 | 2006-11-20 |
| 1073538971 | Jeremy Ian Simon | Physical Medicine & Rehabilitation | 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216 | 2006-07-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19103 |
Please comment or provide details below to improve the information on ADVANTAGE MEDICAL & 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.