Momentum Rehab and Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOMENTUM REHAB AND WELLNESS, LLC

Practice address

724 Disston St
Philadelphia, PA 19111-4323

Phone

(215) 500-8935

NPI assigned

Nov 13, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Morgan, PT

Title

Owner

Phone

(215) 500-8935

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1073081642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 DISSTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191114323",
            "telephone_number": "215-500-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 DISSTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191114323",
            "telephone_number": "215-500-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM REHAB AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-500-8935",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Augusta Elizabeth Momodu, PHARM D

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.