Organization Active NPI

Vigorworks, LLC

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1306081955
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN003988 Issued in PA
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

Updated by the provider on Jul 21, 2010

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.