Active NPI
Redemption Body Wellness LLC
- Health & Wellness Coach
- Philadelphia, PA
National Provider Identifier
1962110734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Legal business name
- REDEMPTION BODY WELLNESS LLC
- Practice address
- 882 N Lex St
Philadelphia, PA 19104-1353 - Phone
- (267) 438-1994
- NPI assigned
- Nov 10, 2022
- Last updated
- Nov 10, 2022
- 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
- Martin Boyd Jr.
- Title
- Owner/Manager
- Phone
- (267) 968-9250
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Delivered Meals | 332U00000X | NU | ||
| Driver | 172A00000X | NU | ||
| Health & Wellness Coach | 171400000X | NU | Primary | |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | NU |
Addresses
Primary practice location
882 N Lex St
Philadelphia, PA 19104-1353
Mailing address
882 N Lex St
Philadelphia, PA 19104-1353
Phone (267) 438-1994
National Provider Directory
National Provider DirectoryLocations
882 N Lex St
Philadelphia, PA 19104
Phone (267) 438-1994
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Health & Wellness Coach
- Philadelphia, PA
- NPI 1295443083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668038400000",
"number": "1962110734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "882 N LEX ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191041353",
"telephone_number": "267-438-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "882 N LEX ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191041353",
"telephone_number": "267-438-1994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDEMPTION BODY WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-10",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A",
"authorized_official_last_name": "BOYD",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "267-968-9250",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.