Northwest Physical Therapy and Wellness Center, LLC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Legal business name

NORTHWEST PHYSICAL THERAPY AND WELLNESS CENTER, LLC

Practice address

7618 Ogontz Ave FL 1
Philadelphia, PA 19150-1817

Phone

(215) 224-1494

Fax

(215) 224-1495

NPI assigned

Feb 22, 2018

Last updated

Feb 22, 2018By 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

Edward J Alexander

Title

Ceo and Administrative Director

Phone

(215) 294-0612

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1235630500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 OLD YORK RD STE 1-756",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463925",
            "telephone_number": "215-294-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7618 OGONTZ AVE FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501817",
            "telephone_number": "215-224-1494",
            "fax_number": "215-224-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PHYSICAL THERAPY AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO AND ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "215-294-0612"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arica Norton

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.