Philly Wellness Center LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PHILLY WELLNESS CENTER LLC

Practice address

834 South St
Philadelphia, PA 19147-2061

Phone

(215) 709-9710

NPI assigned

Nov 20, 2023

Organization subpart

No

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

Authorized official

Name

Catherine Harris, CRNP

Title

Owner

Phone

(609) 332-3852

Specialties & licenses 1

Addresses

Practitioners 2

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

• Scott A Bralow, D.O.

  • Nephrology Physician
  • Bala Cynwyd, PA
  • NPI 1174586358
  NPD
• Vicki L Bralow, DO

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1962588335
  NPD

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1215702279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 S 7TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191472905",
            "telephone_number": "609-332-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 SOUTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191472061",
            "telephone_number": "215-709-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-332-3852",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philly Pregnancy Center PC
• Philly Psychology LLC
• Philly Speech and Language LLC
• Philly Speech and Language Therapy Inc.
• Philly Spine Center Incorporated
• Phillycare Coaching LLC
• Phillymedclub PLLC
• Philmont Homecare, LLC
• Linda Philogene, MSW,LCSW
• Matthew Miller Philp, MD

• Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.