Individual provider Active NPI

Helena Lax-Kamenicka, MD

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
National Provider Identifier
1598743064
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD070391L Issued in PA
Practice address
1513 Race St
Philadelphia, PA 19102-1125
Phone
(215) 587-3056
Fax
(215) 587-9405
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD070391L PA Primary

Addresses

Primary practice location

1513 Race St
Philadelphia, PA 19102-1125

Mailing address

1513 Race St
Philadelphia, PA 19102-1125
Phone (215) 587-3056

Other identifiers 1

IdentifierTypeStateIssuer
001795277-0011MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418000287 PA Practitioner - Physical Medicine and Rehabilitation 0648217034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1513 Race St
Philadelphia, PA 19102-1125
Phone (215) 587-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc CurrentSince Sep 1, 2022 Accepting new patients
Methodist Associates in Healthcare, Inc Current Accepting new patients
Methodist Associates in Healthcare, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Center for Optimal Health LLC Physical Medicine & Rehabilitation Past Accepting new patients
Jefferson University Physicians Past Accepting new patients
Franklintown Rehabilitation Associates, LLC Physical Medicine & Rehabilitation Past Accepting new patients
Wyndmoor Rehab Associates P.C. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

1513 Race St
Philadelphia, PA 19102
Phone (215) 587-3000

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1598743064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 RACE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021125",
            "telephone_number": "215-587-3056",
            "fax_number": "215-587-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 RACE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021125",
            "telephone_number": "215-587-3056",
            "fax_number": "215-587-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAX-KAMENICKA",
        "first_name": "HELENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD070391L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001795277-0011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.