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ADVANCED WELLNESS CENTER OF PA
NPI 1336175918
Chiropractor in Philadelphia, PA

Active since June 24, 2006
14260 BUSTLETON AVE, PHILADELPHIA, PA 19116(215) 676-0104 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Wellness Center Of Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED WELLNESS CENTER OF PA (NPI 1336175918) is a healthcare organization registered as a chiropractor in Philadelphia, Pennsylvania and active in the NPI registry since June 2006. The organization lists Christopher Vaill Walcott, President, as its authorized official.

NPPES Registry Identity

NPI1336175918
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWALCOTT CHIROPRACTIC, P.C.
Location Address14260 BUSTLETON AVEPhiladelphia, PA 19116-1108
Mailing Address1548 Revere RdYardley, PA 19067-4351 · (215) 493-1590
Phone(215) 676-0104
Organization SubpartNo
Authorized OfficialChristopher Vaill WalcottPresident · (215) 493-1590
Enumeration DateJune 24, 2006
Last NPPES UpdateJanuary 28, 2008
✔ NPI 1336175918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · DC007908L
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
14260 BUSTLETON AVE, Philadelphia, PA 19116
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Other Names 1

Doing Business AsAdvanced Wellness Center Of Pa

Other Identifiers 15

Other0060935000PA · Personal Choice
OtherDD6376PA · Rr Medicare Group Id
Other2125718000PA · Personal Choice Group Id
Medicare ID-Type Unspecified044045RUSPA · Medicare
Other0060935000PA · Amerihealth Pin Id
Medicare UPINU82954PA
Other056172PA · Blue Shield
Other7979272PA · Aetna Traditional
Other2192178PA · United Healthcare
OtherP00240657PA · Rr Medicare
Other1437125PA · Blue Shield Group Id
Other2125718000PA · Keystone Group Id
Other0060935000PA · Keystone
Other3063269PA · Aetna Hmo
Medicare PIN070691PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walcott Chiropractic, P.C.'s NPI number?

The NPI number for Walcott Chiropractic, P.C. is 1336175918. It was assigned to this organization in the NPPES registry on June 24, 2006. The provider is doing business as Advanced Wellness Center Of PA.

Where is Walcott Chiropractic, P.C. located?

Walcott Chiropractic, P.C. is located at 14260 Bustleton Ave, Philadelphia, PA 19116. The listed phone number is (215) 676-0104.

What is Walcott Chiropractic, P.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Walcott Chiropractic, P.C. was last updated on January 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.