Diverse Body Sculpturing

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

DIVERSE BODY SCULPTURING

Practice address

7224 Germantown Ave
Philadelphia, PA 19119-1749

Phone

(267) 586-9504

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Mikail Abdul Karim, BMS

Title

Owner/ Bio Mechanic Specialist

Phone

(267) 586-9504

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1215530027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7224 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191749",
            "telephone_number": "267-586-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7224 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191749",
            "telephone_number": "267-586-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE BODY SCULPTURING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "ABDUL KARIM",
        "authorized_official_first_name": "MIKAIL",
        "authorized_official_title_or_position": "OWNER/ BIO MECHANIC SPECIALIST",
        "authorized_official_telephone_number": "267-586-9504",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BMS"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mik@diversebodysculpturing.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "written consent",
            "address_1": "7224 Germantown Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191191749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jamie Ditrolio, CRNA
• Jacquelyn Dittmeier, DPT
• Nicole Ditullio
• Shashi Raj Divaker, M.D.
• Alexandra Valentina Diventura, CRNP
• Diversified Home & Community Services LLC
• Diversified Psychological Resources, P.C.
• Diversified Supportive Services
• Diversified Supportive Services LLC
• Christie Lee Diveterano, CRNP

• Athletic Trainer in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.