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Organization Active NPI

Tower Health Medical Group

Doing business as Registered Dieticians - Tower Health Medical Group

  • Registered Dietetic Technician
  • Wyomissing, PA
National Provider Identifier
1255636205
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Dietetic TechnicianTaxonomy code 136A00000X
Legal business name
TOWER HEALTH MEDICAL GROUP
Doing business as
Registered Dieticians - Tower Health Medical Group
Registered Dieticians Wyomissing Broadcasting Rd THMG
Registered Dieticians Wyomissing State Hill Rd THMG
Practice address
1991 State Hill Rd
Wyomissing, PA 19610-1648
Phone
(484) 628-4270
Fax
(484) 628-4261
NPI assigned
Jan 24, 2011
Last updated
Jun 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Charles Michael Valentino Jr.
Title
VP of Revenue Integrity
Phone
(484) 628-9380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietetic Technician 136A00000X NU Primary

Addresses

Primary practice location

1991 State Hill Rd
Wyomissing, PA 19610-1648

Mailing address

PO Box 13579
Reading, PA 19612-3579

Other practice location 1

1220 Broadcasting Rd Ste 101
Wyomissing, PA 19610-3221
Phone (484) 628-5673

Other practice location 2

2603 Keiser Blvd
Ste 104
Wyomissing, PA 19610-3341
Phone (484) 628-5673

Other identifiers 1

IdentifierTypeStateIssuer
072790OtherPAMEDICARE ID

Other names 3

  • Registered Dieticians - Tower Health Medical Group Doing business as
  • Registered Dieticians Wyomissing Broadcasting Rd THMG Doing business as
  • Registered Dieticians Wyomissing State Hill Rd THMG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311000072 PA Part B Supplier - Clinic/Group Practice 7618889213 Receives reassigned benefits from 1,612 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: West Lawn, PA; Phoenixville, PA; West Reading, PA; Womelsdorf, PA; Wyomissing, PA; Sinking Spring, PA; Bernville, PA; Birdsboro, PA…

National Provider Directory

National Provider Directory
Tax ID family
Invalid Entry40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1255636205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 STATE HILL RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101648",
            "telephone_number": "484-628-4270",
            "fax_number": "484-628-4261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Broadcasting Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196103221",
            "country_code": "US",
            "telephone_number": "484-628-5673",
            "fax_number": "610-371-8623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2603 Keiser Blvd",
            "address_2": "Ste 104",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196103341",
            "country_code": "US",
            "telephone_number": "484-628-5673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOWER HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "VALENTINO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VP OF REVENUE INTEGRITY",
        "authorized_official_telephone_number": "484-628-9380",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "072790",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Registered Dieticians - Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Registered Dieticians Wyomissing Broadcasting Rd THMG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Registered Dieticians Wyomissing State Hill Rd THMG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.