Organization Active NPI

LTC Treatment Center Inc

  • General Practice Physician
  • Philadelphia, PA
National Provider Identifier
1366008260
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LTC TREATMENT CENTER INC
Practice address
7712 Buist Ave Apt B
Philadelphia, PA 19153-1705
Phone
(215) 282-6640
NPI assigned
May 15, 2019
Last updated
May 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Authorized official

Name
Matthew Ranwweiler
Title
Director
Phone
(215) 282-6640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

7712 Buist Ave Apt B
Philadelphia, PA 19153-1705

Mailing address

3720 Spruce St # 318
Philadelphia, PA 19104-4115
Phone (215) 282-6640

National Provider Directory

National Provider Directory

Locations

3720 Spruce St
#318
Philadelphia, PA 19104

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1366008260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SPRUCE ST # 318",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044115",
            "telephone_number": "215-282-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7712 BUIST AVE APT B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191531705",
            "telephone_number": "215-282-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC TREATMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "RANWWEILER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-282-6640"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 May 15, 2019; 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.