Active NPI
R&R Wellness
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Philadelphia, PA
National Provider Identifier
1538824479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- R&R WELLNESS
- Practice address
- 4080 Lancaster Ave
Philadelphia, PA 19104-1746 - Phone
- (610) 257-3942
- NPI assigned
- Nov 4, 2021
- Last updated
- Nov 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Johnson
- Title
- Owner
- Phone
- (215) 201-8206
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary | ||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | |||
| Pain Medicine Physician | 208VP0000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Pain Clinic/Center | 261QP3300X |
Addresses
Primary practice location
4080 Lancaster Ave
Philadelphia, PA 19104-1746
Mailing address
PO Box 9897
Philadelphia, PA 19140-0897
National Provider Directory
National Provider DirectoryLocations
4080 Lancaster Ave
Philadelphia, PA 19104
Phone (610) 257-3942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635984000000",
"number": "1538824479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9897",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191400897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 LANCASTER AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191041746",
"telephone_number": "610-257-3942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R&R WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-04",
"last_updated": "2021-11-04",
"certification_date": "2021-11-01",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-201-8206"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"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 Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.