Organization Active NPI

Jennifer Chu, M.D.,LLC

Doing business as eToims Soft Tissue Comfort Center

  • Rehabilitation Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1275694457
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
MD036156L Issued in PA
Legal business name
JENNIFER CHU, M.D.,LLC
Doing business as
eToims Soft Tissue Comfort Center
Practice address
3401 Market St
Suite 135
Philadelphia, PA 19104-3318
Phone
(215) 387-0550
Fax
(215) 387-0556
NPI assigned
Dec 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jennifer Chu, M.D.NPI 1649227760
Title
Owner
Phone
(215) 387-0550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X MD036156L PA Primary

Addresses

Primary practice location

3401 Market St
Suite 135
Philadelphia, PA 19104-3318

Mailing address

3401 Market Street
Suite 135
Philadelphia, PA 19104-3315
Phone (215) 387-0550

Other names 1

  • eToims Soft Tissue Comfort Center Doing business as

National Provider Directory

National Provider Directory

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275694457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 MARKET STREET",
            "address_2": "SUITE 135",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043315",
            "telephone_number": "215-387-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 MARKET ST",
            "address_2": "SUITE 135",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043318",
            "telephone_number": "215-387-0550",
            "fax_number": "215-387-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CHU, M.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-387-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "PA",
            "license": "MD036156L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eToims Soft Tissue Comfort Center",
            "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 Aug 22, 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.