Teodor 1 Incorporated Dba Personal Wound Care Services

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

TEODOR 1 INCORPORATED DBA PERSONAL WOUND CARE SERVICES

Practice address

8221 Provident Street
Philadelphia, PA 19150

Phone

(267) 338-6382

Fax

(888) 252-9279

NPI assigned

Mar 24, 2026

Organization subpart

No

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

Authorized official

Name

Nicole Michelle Theodore, REGISTERED NURSENPI 1588512776

Title

Coo

Phone

(267) 338-6382

Specialties & licenses 1

Addresses

Other names 1

• Personal Wound Care Services Doing business as

Practitioners 1

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

• Nicole Michelle Theodore, REGISTERED NURSE

  • Wound Care Registered Nurse
  • Philadelphia, PA
  • NPI 1588512776
  NPD Authorized official

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1932047289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8221 PROVIDENT STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19150",
            "telephone_number": "267-338-6382",
            "fax_number": "888-252-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 PROVIDENT STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19150",
            "telephone_number": "267-338-6382",
            "fax_number": "888-252-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEODOR 1 INCORPORATED DBA PERSONAL WOUND CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "THEODORE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "267-338-6382",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Wound Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhea Teng, MD
• Jeffrey Scott Tenin
• Gihan I Tennekoon, M.D.
• Carol Tenneriello, RN, IBCLC
• Rebecca L Tenney-Soeiro, MD
• Zev Tepel
• Elizabeth G. Teperov, M.D.
• Mara Teplitsky, DDS
• Brett Aaron Teplitz, M.D.
• Jeannette Giammattei Tepper, M.D.

• Wound Care Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Wound Care Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.