Proactive Physical Medicine, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PROACTIVE PHYSICAL MEDICINE, LLC

Practice address

1331 E Wyoming Ave
Suite 1100
Philadelphia, PA 19124-3808

Phone

(215) 744-4030

Fax

(215) 744-4582

NPI assigned

Jul 29, 2007

Last updated

Sep 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aileen Quell

Title

Billing Manager

Phone

(215) 321-3538

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Apollo Manlapig Arenas, M.D.

  • Neurology Physician
  • Philadelphia, PA
  • NPI 1801917257
  NPD (past)
• David Stuart Tabby, DO

  • Neurology Physician
  • Merion Station, PA
  • NPI 1346292901
  NPD (past)

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

{
    "created_epoch": "1185667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1437349131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 E WYOMING AVE",
            "address_2": "SUITE 1100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243808",
            "telephone_number": "215-744-4030",
            "fax_number": "215-744-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 E WYOMING AVE",
            "address_2": "SUITE 1100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243808",
            "telephone_number": "215-744-4030",
            "fax_number": "215-744-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PHYSICAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-29",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "QUELL",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "215-321-3538"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Private Practice of Julie Present Koller, PH.D., LLC
• Galina Privorotsky, M.D.
• Pro Health Services LLC
• Pro-Tech Ambulance Company, Inc.
• Unah Pro, MD
• Proactive Support Coordination Agency LLC
• Alvaro Leonidas Proano Falconi, MD
• Allan Probert
• Daniela M Proca, MD
• Pasquale M Procacci, MD

• Medical Specialty Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medical Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.