Active NPI
Vigorworks, LLC
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1306081955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN003988
- Legal business name
- VIGORWORKS, LLC
- Practice address
- 313 Sage LN
Philadelphia, PA 19128-4556 - Phone
- (215) 545-2000
- NPI assigned
- Dec 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Samuel Y. Botts
- Title
- Managing Partner
- Phone
- (215) 545-2000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN003988 | PA | Primary |
| Case Management Agency | 251B00000X |
Addresses
Primary practice location
313 Sage LN
Philadelphia, PA 19128-4556
Mailing address
PO Box 25817
Philadelphia, PA 19128-5817
Phone (215) 545-2000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279670400000",
"number": "1306081955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25817",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191285817",
"telephone_number": "215-545-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 SAGE LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191284556",
"telephone_number": "215-545-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIGORWORKS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-11",
"last_updated": "2010-07-21",
"status": "A",
"authorized_official_last_name": "BOTTS",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "Y.",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "215-545-2000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN003988",
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.