Aquatic Rehabilitation & Physical Therapy Center

LBN: Integrated Medical Care, Llc
Aquatic Rehabilitation & Physical Therapy Center is an health care organization with primary practice located at 15501 Bustleton Ave Suite A, Philadelphia PA 19116-1187. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Integrated Medical Care, Llc can be contacted via phone (215) 742-7033, or through Matyashova, Natalya via phone (215) 742-7033.

Contact Information

Primary practice address
15501 Bustleton Ave Suite A Philadelphia PA 19116-1187
Phone: (215) 742-7033
Fax: (215) 742-7034
Website:
Map and Directions
Authorized official contact:
Name: Matyashova, Natalya
Phone: (215) 742-7033

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1891731741
LBN Legal business name Integrated Medical Care, Llc
DBA Doing business as Aquatic Rehabilitation & Physical Therapy Center
Authorized official Matyashova, Natalya
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Mar 10th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891731741 NPPES
Pennsylvania MEDICAID 0019445460004

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