Summit Health and Wellness LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

SUMMIT HEALTH AND WELLNESS LLC

Practice address

6200 Woodland Ave
62ND Woodland Ave. Woodland Village Shopping Center
Philadelphia, PA 19142

Phone

(215) 850-1649

NPI assigned

Aug 25, 2020

Last updated

Aug 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wayne Oliver

Title

Pres.

Phone

(215) 850-1649

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1205449782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WOODLAND AVE",
            "address_2": "62ND WOODLAND AVE. WOODLAND VILLAGE SHOPPING CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19142",
            "telephone_number": "215-850-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WOODLAND AVE",
            "address_2": "62ND WOODLAND AVE. WOODLAND VILLAGE SHOPPING CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19142",
            "telephone_number": "215-850-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "215-850-1649"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Summerton, PT, DPT
• Susan L. Summerton, M.D.
• Georgene Hergenroeder Summervill, MD
• Robert D Summey, MD
• Summit Care Medical Supply
• Fnu Summiya Fatima
• Amy E. W. Sumner, OD
• Justen Sumner, MD, MPH
• David Sumo, CEO
• Chanoan Sumonthee, DDS

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.