Active NPI
Podium Performance Care
- Sports Physician Chiropractor
- Philadelphia, PA
National Provider Identifier
1033822101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- Legal business name
- PODIUM PERFORMANCE CARE
- Practice address
- 3500 Scotts LN Ste 215
Philadelphia, PA 19129-1836 - Phone
- (856) 946-7702
- NPI assigned
- Jan 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aidan Kaye, DC, L.AC.
- Title
- Owner
- Phone
- (609) 214-5615
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | Primary | ||
| Acupuncturist | 171100000X | |||
| Sports Physical Therapist | 2251S0007X | |||
| Orthopedic Physical Therapist | 2251X0800X |
Addresses
Primary practice location
3500 Scotts LN Ste 215
Philadelphia, PA 19129-1836
Mailing address
3500 Scotts LN Ste 215
Philadelphia, PA 19129-1836
Phone (856) 946-7702
National Provider Directory
National Provider DirectoryLocations
3500 Scotts Ln
Ste 215
Philadelphia, PA 19129
Phone (609) 214-5615
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672704000000",
"number": "1033822101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 SCOTTS LN STE 215",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291836",
"telephone_number": "856-946-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 SCOTTS LN STE 215",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291836",
"telephone_number": "856-946-7702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODIUM PERFORMANCE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-03",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A",
"authorized_official_last_name": "KAYE",
"authorized_official_first_name": "AIDAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "609-214-5615",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC, L.AC."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": null,
"license": null,
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.