Northeast Aqua and Physical Therapy Center Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTHEAST AQUA AND PHYSICAL THERAPY CENTER INC

Practice address

9150 Marshall St
Suite 9
Philadelphia, PA 19114-2217

Phone

(215) 969-2101

NPI assigned

Sep 14, 2006

Last updated

Oct 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruslana Voloshen

Title

President

Phone

(215) 969-2101

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1740385814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 MARSHALL ST",
            "address_2": "SUITE 9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142217",
            "telephone_number": "215-969-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 MARSHALL ST",
            "address_2": "SUITE 9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142217",
            "telephone_number": "215-969-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST AQUA AND PHYSICAL THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "VOLOSHEN",
        "authorized_official_first_name": "RUSLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-969-2101"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.