Active NPI
Ergo Conscious World LLC
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1073384400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ERGO CONSCIOUS WORLD LLC
- Practice address
- 1500 Chestnut St Apt 19E
Philadelphia, PA 19102-2746 - Phone
- (267) 221-1016
- NPI assigned
- Jan 15, 2024
- Last updated
- Jan 24, 2024
- 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
- Nikitaben A Patel, PT
- Title
- Owner
- Phone
- (267) 221-1016
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
1500 Chestnut St Apt 19E
Philadelphia, PA 19102-2746
Mailing address
1500 Chestnut St Apt 19E
Philadelphia, PA 19102-2746
Phone (267) 221-1016
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Philadelphia, PA
- NPI 1386951200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706054400000",
"number": "1073384400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 CHESTNUT ST APT 19E",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191022746",
"telephone_number": "267-221-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CHESTNUT ST APT 19E",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191022746",
"telephone_number": "267-221-1016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERGO CONSCIOUS WORLD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "NIKITABEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-221-1016",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"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 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.