Organization Active NPI

Rejuvenations Healthcare & Rehabilitation

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1154714905
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006411L Issued in PA
Legal business name
REJUVENATIONS HEALTHCARE & REHABILITATION
Practice address
813 Adams Ave
Philadelphia, PA 19124-2477
Phone
(215) 305-3300
Fax
(215) 305-3301
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Peter Dean Redmond, D.C
Title
Owner
Phone
(215) 305-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC006411L PA Primary

Addresses

Primary practice location

813 Adams Ave
Philadelphia, PA 19124-2477

Mailing address

813 Adams Ave
Philadelphia, PA 19124-2477
Phone (215) 305-3300

National Provider Directory

National Provider Directory

Locations

813 Adams Ave
Philadelphia, PA 19124
Phone (215) 305-3300

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1154714905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 ADAMS AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242477",
            "telephone_number": "215-305-3300",
            "fax_number": "215-305-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 ADAMS AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242477",
            "telephone_number": "215-305-3300",
            "fax_number": "215-305-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATIONS HEALTHCARE & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-305-3300",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006411L",
            "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 Mar 17, 2015; 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.