SOUTH PHILADELPHIA PS (NPI# 1568629681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568629681 |
| Entity Type | Organization |
| Organization Name | SOUTH PHILADELPHIA PS |
| Practice Address |
1 Reed St Philadelphia PA 19147-5501 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept Mechanicsburg PA 17055 |
| Practice Telephone | 7179721100 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2010-09-02 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
1 REED ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19147-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588967152 | Traci Jill Littman | Physician Assistant | 1 Reed St, Philadelphia, PA 19147-5501 | 2010-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336181 | Jamica Cropper-pam | Counselor | 401 S 2nd St. Suite 301, Philadelphia, PA 19147 | 2018-11-27 |
| 1598234411 | Halina Dziewolska | Behavioral Analyst | 535 Queen Street, Philadelphia, PA 19147 | 2018-11-20 |
| 1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
| 1487120218 | Christopher Michael Rosado | Behavioral Analyst | 1218-20 South 8th St, 1, Philadelphia, PA 19147 | 2018-10-19 |
| 1891271722 | Candice Millard | Dietitian, Registered | 419 S 8th St Apt 1b, Philadelphia, PA 19147 | 2018-07-13 |
| 1669998217 | Julianne Leonarda Wiebalk | Counselor | 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 | 2017-08-16 |
| 1396269247 | Sara Parente | Social Worker | 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 | 2017-08-02 |
| 1609398445 | Nikele Riek | Social Worker | 1348 Bainbridge Street, Philadelphia, PA 19147 | 2017-07-13 |
| 1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
| 1194196105 | Ann Courto | Dietitian, Registered | 1140 Cross Street, Philadelphia, PA 19147 | 2015-10-16 |
| Find all providers in zip 19147 | ||||
| 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 |
| 1205228160 | Jerry A Toomer | Clinic/Center | 1610 Cecil B Moore Ave, Philadelphia, PA 19121-3210 | 2015-03-02 |
| 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 | 19147 |
Please comment or provide details below to improve the information on SOUTH PHILADELPHIA PS.
| 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.