Germantown Pain Management & Physical Therapy

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

MD044909E Issued in PA

Legal business name

GERMANTOWN PAIN MANAGEMENT & PHYSICAL THERAPY

Practice address

6334 Germantown Ave
Philadelphia, PA 19144-1935

Phone

(215) 848-3216

NPI assigned

Apr 11, 2011

Last updated

Apr 11, 2011By 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

Dr. Kevin Anthony Chavarria I, M.D.

Title

Medical Doctor

Phone

(267) 265-4423

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1740570886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18867",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191190867",
            "telephone_number": "215-848-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6334 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441935",
            "telephone_number": "215-848-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN PAIN MANAGEMENT & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "CHAVARRIA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "267-265-4423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD044909E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Germantown Health and Wellness, P.C.
• Germantown Home
• Germantown Injury Care Center
• Germantown MRI Associates PC (Germantown MRI & PET Center)
• Germantown Pain Management
• Germantown Pediatrics, P.C.
• Germantown Pharma Inc (Germantown Pharmacy Inc)
• Germantown Settlement Outpatient Wellness Counseling Center
• Kristian Kyle Germer
• John A Germiller, M.D.

• Addiction Medicine (Family Medicine) Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Addiction Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.