Organization Active NPI

Newtown Raquetball Inc

  • Registered Dietitian
  • Newtown, PA
National Provider Identifier
1447708607
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NEWTOWN RAQUETBALL INC
Practice address
120 Pheasant Run
Newtown, PA 18940-1821
Phone
(215) 968-0600
NPI assigned
Sep 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Mr. Samuel James Worthington
Title
Owner/President
Phone
(215) 968-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

120 Pheasant Run
Newtown, PA 18940-1821

Mailing address

120 Pheasant Run
Newtown, PA 18940-1821
Phone (215) 968-0600

National Provider Directory

National Provider Directory

Locations

120 Pheasant Run
Newtown, PA 18940
Phone (215) 944-6031

NPI Registry JSON

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1447708607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PHEASANT RUN",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401821",
            "telephone_number": "215-968-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PHEASANT RUN",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401821",
            "telephone_number": "215-968-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTOWN RAQUETBALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "WORTHINGTON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "215-968-0600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.