Reboot Integrative Wellness Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT016630 Issued in PA

Legal business name

REBOOT INTEGRATIVE WELLNESS CENTER

Practice address

1349 W Cheltenham Ave
Suite 201
Elkins Park, PA 19027-3141

Phone

(267) 408-9294

NPI assigned

Apr 20, 2015

Organization subpart

No

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

Authorized official

Name

Steve K. O, PT, L.AC.NPI 1265558373

Title

Co-Owner

Phone

(267) 408-9294

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steve K O, PT, L.AC., CWS

  • Physical Therapist
  • Elkins Park, PA
  • NPI 1265558373
  Medicare reassignment Care Compare group NPD Authorized official
• Mengge Liu, DC

  • Chiropractor
  • Elkins Park, PA
  • NPI 1033767926
  Medicare reassignment Care Compare group NPD
• Marie Patricia McTamney, MSPT

  • Physical Therapist
  • Rockledge, PA
  • NPI 1578505624
  Medicare reassignment Care Compare group NPD
• Meng Shang

  • Chiropractor
  • Philadelphia, PA
  • NPI 1366709248
  Medicare reassignment Care Compare group NPD
• Felicia B Greenfield -Blau, PT

  • Physical Therapist
  • Elkins Park, PA
  • NPI 1356392898
  Medicare reassignment NPD
• Weiling Zhang, D.C., L.AC.

  • Acupuncturist
  • Glen Cove, NY
  • NPI 1568982387
  NPD (past)

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1215324926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 W CHELTENHAM AVE",
            "address_2": "SUITE 201",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273141",
            "telephone_number": "267-408-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 W CHELTENHAM AVE",
            "address_2": "SUITE 201",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273141",
            "telephone_number": "267-408-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOOT INTEGRATIVE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "O",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "267-408-9294",
        "authorized_official_credential": "PT, L.AC."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT016630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlyn Saray Ramos Lamboy, M.D.
• Rapa Care, Inc
• Chari M Raphael, PT
• Anna M Raport, MFT
• Gunjan Rastogi-Wilson, NP
• Ambria Reid
• Renew Family Services, LLC
• Resilience Community Counseling LLC
• Melvyn Paul Richter, M.D.
• Michele Rifkin Wernick, MSHED OTRL

• Physical Therapy Clinic/Center in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.