PEAK POTENTIAL WELLNESS CTR INC (NPI# 1346315983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346315983 |
| Entity Type | Organization |
| Organization Name | PEAK POTENTIAL WELLNESS CTR INC |
| Other Organization Name | PEAK POTENTIAL FAMILY CHIROPRACTIC LLC |
| Practice Address |
1340 Swedesford Rd Berwyn PA 19312 |
| Practice Telephone | 6102409010 |
| Practice Fax Number | 6102400950 |
| Mailing Telephone | 6102409010 |
| Mailing Fax Number | 6102400950 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRIAN ERNEST CAPALDI (PRESIDENT) |
| Authorized Official Telephone | 6102409010 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Peak Potential Family Chiropractic LLC | Former Legal Business Name - Organization |
| Street Address |
1340 SWEDESFORD RD |
| City | BERWYN |
| State | PA |
| Zip Code | 19312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992025159 | Jason Allen | Physical Therapist | 1340 Swedesford Rd, Inside Devon Fitness Club, Berwyn, PA 19312-1087 | 2010-06-10 |
| 1285956250 | Devon Fitness Club | Dietitian, Registered | 1340 Swedesford Rd, Berwyn, PA 19312-1087 | 2010-02-18 |
| 1760621437 | Erin M Andersen | Dietitian, Registered | 1340 Swedesford Rd, Berwyn, PA 19312-1087 | 2009-02-19 |
| 1124166442 | Brian E Capaldi | Chiropractor | 1340 Swedesford Rd, Berwyn, PA 19312 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770113847 | Theresa Marie Estrada | Dietitian, Registered | 534 Howellville Rd., Berwyn, PA 19312 | 2020-01-17 |
| 1407279664 | True Care Medical Transport LLC | Ambulance | 1189 Lancaster Ave, Berwyn, PA 19312 | 2014-01-23 |
| 1124440730 | Sofie Heyman | Marriage & Family Therapist | 1034 Beaumont Rd, Berwyn, PA 19312 | 2014-01-16 |
| 1437303880 | Megan O'keefe | Occupational Therapist | 622 First Ave., Berwyn, PA 19312 | 2008-11-12 |
| 1235383084 | Working Together Inc. | Naturopath | 411 E. Lancaster Ave., Wayne, PA 19312 | 2008-11-06 |
| 1750559050 | Kenneth Kondracki | Pharmacist | 450 Mw Swedesford Rd, Berwyn, PA 19312 | 2008-02-20 |
| 1962624312 | John B Fitzgerald IIi | Dentist | 1201 W Swedesford Road, Berwyn, PA 19312 | 2007-05-03 |
| 1760607576 | Kathleen Jane Ramsdell | Occupational Therapist | 2 Harrow Lane, Berwyn, PA 19312 | 2007-04-16 |
| 1679604979 | Matthew Lewullis | Family Medicine | 1001 Chesterbrook Boulevard, Berwyn, PA 19312 | 2007-03-08 |
| 1962550996 | Christine Marie Specht | Registered Nurse | 1199 Lancaster Avenue, Suite 106, Berwyn, PA 19312 | 2007-01-08 |
| Find all providers in zip 19312 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336510601 | Santos Natural Health Center,ltd | Chiropractor | 6905 Cermak Rd Ste B, Berwyn, IL 60402-2175 | 2015-10-13 |
| 1992101844 | Khalaf H Khalifeh | Chiropractor | 6905 Cermak Rd, Ste B, Berwyn, IL 60402-2175 | 2014-11-04 |
| 1417224445 | Pietro Tinnirello | Chiropractor | 2827 Harlem Ave, Berwyn, IL 60402-2825 | 2011-11-18 |
| 1457635716 | Berwyn Medical Sc | Chiropractor | 7008 Cermak Rd, Berwyn, IL 60402-2151 | 2011-10-05 |
| 1093099756 | Tilak R Dhingra | Chiropractor | 6905-a West Cermak Road, Berwyn, IL 60402-2175 | 2011-09-29 |
| 1104060789 | Trakst, P.C. | Chiropractor | 6645 W. Stanley Ave., Berwyn, IL 60402-3128 | 2009-04-27 |
| 1124270376 | Elizabeth Kroculick Carter | Chiropractor | 682 Lancaster Ave, Berwyn, PA 19312-1673 | 2008-10-21 |
| 1538281589 | Daniel V. Fortuna, D.c., S.c. | Chiropractor | 2947 Oak Park Ave, Berwyn, IL 60402-3048 | 2007-04-03 |
| 1821121864 | George Edward Winternheimer | Chiropractor | 7008 W Cermak, Berwyn, IL 60402-2151 | 2007-03-13 |
| 1922137496 | Rimas Leo Novickis | Chiropractor | 6645 Stanley Ave, Berwyn, IL 60402-3128 | 2007-03-02 |
| Find all providers in BERWYN | ||||
Please comment or provide details below to improve the information on PEAK POTENTIAL WELLNESS CTR INC.
| 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.