Active NPI
WT Operating, LLC
- Skilled Nursing Facility
- Philadelphia, PA
National Provider Identifier
1750870580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WT OPERATING, LLC
- Practice address
- 1 Penn Blvd
Philadelphia, PA 19144 - Phone
- (215) 951-8500
- NPI assigned
- May 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Bleier
- Title
- Managing Member
- Phone
- (516) 303-0132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1 Penn Blvd
Philadelphia, PA 19144
Mailing address
8301 Roosevelt Blvd
Philadelphia, PA 19152-2006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1034831460001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180517002263 | PA | Part A Provider - Skilled Nursing Facility | 3577828722 | Practice locations: Philadelphia, PA |
Skilled nursing facility certification: CCN 396129
- Legal name
- WT OPERATING LLC
- Doing business as
- WILLOW TERRACE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 13, 2010
- Last certification
- Jan 31, 2025
- Beds
- 174
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- May 4, 2018 in PA
- Enrollment address
- One Penn Boulevard
Philadelphia, PA 19144-1476 - Nursing home name
- WILLOW TERRACE
- Affiliated entity
- JONATHAN BLEIER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Willow Terrace
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 13, 2010
- Medicare certification status
- Active
- Certified beds
- 174
- Chain
- Jonathan Bleier
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Karen Thomas | W-2 Managing Employee | May 13, 2018 | |
| Lisa M Sofia | 5% Or Greater Direct Ownership Interest | May 13, 2018 | 5% |
| Corporate Officer | May 13, 2018 | ||
| Yaakov E Sod | 5% Or Greater Direct Ownership Interest | May 13, 2018 | 47.5% |
| Jonathan Bleier | 5% Or Greater Direct Ownership Interest | May 13, 2018 | 47.5% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Narberth, PA
- NPI 1427005735
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Narberth, PA
- NPI 1427005735
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531872000000",
"number": "1750870580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 ROOSEVELT BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191522006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PENN BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19144",
"telephone_number": "215-951-8500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WT OPERATING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-07",
"last_updated": "2018-07-18",
"status": "A",
"authorized_official_last_name": "BLEIER",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "516-303-0132"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1034831460001",
"state": "PA"
}
],
"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 Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.