NPIMap

Organization Active NPI

Aquatic Therapy of Chinatown

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1518902253
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007915L Issued in PA
Legal business name
AQUATIC THERAPY OF CHINATOWN
Practice address
933 Spring St
Philadelphia, PA 19107-1815
Phone
(215) 574-9388
Fax
(215) 574-9188
NPI assigned
Jun 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph Wang, MDNPI 1881636728
Title
Chiropractor/Owner
Phone
(215) 574-9388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007915L PA Primary

Addresses

Primary practice location

933 Spring St
Philadelphia, PA 19107-1815

Mailing address

110 Vine St
Apt 1508
Philadelphia, PA 19106-1303

Other identifiers 1

IdentifierTypeStateIssuer
2155333000OtherPAKEYSTONE HEALTH PLAN EAST

National Provider Directory

National Provider Directory

Locations

933 Spring St
Philadelphia, PA 19107
Phone (215) 574-9388

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518902253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VINE ST",
            "address_2": "APT 1508",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 SPRING ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071815",
            "telephone_number": "215-574-9388",
            "fax_number": "215-574-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUATIC THERAPY OF CHINATOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "215-574-9388",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007915L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2155333000",
            "state": "PA"
        }
    ],
    "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 Aug 22, 2020; 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.