Organization Active NPI

Balance-Vita PLLC

Doing business as Matt Watto MD Concierge Primary Care

  • General Practice Physician
  • Philadelphia, PA
National Provider Identifier
1235095969
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BALANCE-VITA PLLC
Doing business as
Matt Watto MD Concierge Primary Care
Practice address
12 W Willow Grove Ave
Philadelphia, PA 19118-3952
Phone
(267) 270-2446
NPI assigned
Dec 26, 2025
Last updated
Dec 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Authorized official

Name
Matthew Watto, MDNPI 1730404591
Title
Medical Director
Phone
(267) 270-2446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

12 W Willow Grove Ave
Philadelphia, PA 19118-3952

Mailing address

12 W Willow Grove Ave
Philadelphia, PA 19118-3952

Other names 1

  • Matt Watto MD Concierge Primary Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matt@balancevita.drchronodirect.com Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: matt@balancevita.drchronodirect.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1766707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766707200000",
    "number": "1235095969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W WILLOW GROVE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W WILLOW GROVE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183952",
            "telephone_number": "267-270-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE-VITA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A",
        "authorized_official_last_name": "WATTO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "267-270-2446",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matt@balancevita.drchronodirect.com",
            "affiliation": "N",
            "endpointDescription": "drchrono EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12 W Willow Grove Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191183952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Matt Watto MD Concierge Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 26, 2025; 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.