Joshua Neidich

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

1315 Walnut St
Inside Optimal Sports Health Club
Philadelphia, PA 19107

Phone

(707) 739-6801

NPI assigned

Sep 14, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1104374545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST",
            "address_2": "INSIDE OPTIMAL SPORTS HEALTH CLUB",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "707-739-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST",
            "address_2": "INSIDE OPTIMAL SPORTS HEALTH CLUB",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "707-739-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDICH",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dumitrela Negru, PSYD, LMFT
• Michael Azeze Negussie, MD
• Ariel Nehemiah
• Carole A Nehez, LCSW
• Maromi Nei, M.D.
• Neighbor in-Law Home Care, LLC
• Neighborhood Therapy Group
• Neighbors Quality Homecare, LLC
• Neil J Mallis
• Neil J. Mallis, M.D. Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.