Organization Active NPI

Roberts Family Sports and Chiropractic

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1669775268
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN002287 Issued in PA
Legal business name
ROBERTS FAMILY SPORTS AND CHIROPRACTIC
Practice address
8151 Ridge Ave
Philadelphia, PA 19128-2902
Phone
(215) 487-2500
Fax
(215) 487-7463
NPI assigned
Dec 21, 2010
Last updated
Dec 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Lenny Roberts
Title
Owner
Phone
(215) 487-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN002287 PA Primary

Addresses

Primary practice location

8151 Ridge Ave
Philadelphia, PA 19128-2902

Mailing address

8151 Ridge Ave
Philadelphia, PA 19128-2902
Phone (215) 487-2500

National Provider Directory

National Provider Directory
Tax ID family
Roberts Family and Sports Chiropractic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1669775268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8151 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282902",
            "telephone_number": "215-487-2500",
            "fax_number": "215-487-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8151 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282902",
            "telephone_number": "215-487-2500",
            "fax_number": "215-487-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS FAMILY SPORTS AND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "LENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-487-2500"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN002287",
            "primary": true
        }
    ],
    "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 Dec 21, 2010; 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.