West Philadelphia Medical & Rehabilitation, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC006957L Issued in PA

Legal business name

WEST PHILADELPHIA MEDICAL & REHABILITATION, P.C.

Practice address

2600 Philmont Ave
Suite 308
Huntingdon Valley, PA 19006-5306

Phone

(215) 947-5800

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Amanda Lynn Ricca, RN

Title

Administrator

Phone

(215) 947-5800

Specialties & licenses 1

Addresses

Other names 1

• NORTH PHILADELPHIA MEDICAL & REHABITATION Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Joseph Connelly, DC

  • Chiropractor
  • Philadelphia, PA
  • NPI 1124066915
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679528558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5942 HAVERFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191514333",
            "telephone_number": "215-474-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 PHILMONT AVE",
            "address_2": "SUITE 308",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065306",
            "telephone_number": "215-947-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PHILADELPHIA MEDICAL & REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICCA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-947-5800",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006957L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH PHILADELPHIA MEDICAL & REHABITATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chiropractor in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Chiropractor in Pennsylvania

• 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.