Active NPI
Walidah E West, PT
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1154564623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012225L
- Practice address
- 2100 W Girard Ave
Philadelphia, PA 19130-1400 - Phone
- (215) 685-0800
- Fax
- (215) 978-6330
- NPI assigned
- Apr 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012225L | PA | Primary |
Addresses
Primary practice location
2100 W Girard Ave
Philadelphia, PA 19130-1400
Mailing address
2100 W Girard Ave
Philadelphia, PA 19130-1400
Phone (215) 685-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012225L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
| Essential Health, PC | Past | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800
1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Wilmington, DE
- NPI 1326092503
-
- Obstetrics & Gynecology Physician
- Huntsville, AL
- NPI 1508823055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239667200000",
"number": "1154564623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 W GIRARD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191301400",
"telephone_number": "215-685-0800",
"fax_number": "215-978-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W GIRARD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191301400",
"telephone_number": "215-685-0800",
"fax_number": "215-978-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "WALIDAH",
"middle_name": "E",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-14",
"last_updated": "2009-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT012225L",
"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 Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.