WYNTER WELLNESS GROUP LLC
NPI 1396403408
Speech-Language Pathologist in Philadelphia, PA

Q: What is Wynter Wellness Group LLC's NPI number?

The NPI number for Wynter Wellness Group LLC is 1396403408. It was assigned to this organization in the NPPES registry on December 6, 2021.

Q: What is Wynter Wellness Group LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since December 06, 2021

1017 S FAIRHILL ST, PHILADELPHIA, PA 19147(215) 690-1336(215) 392-3462 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 12, 2022, Apr 5, 2022, Dec 6, 2021 (3 updates tracked since 2021).

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About Wynter Wellness Group Llc NPPES

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

WYNTER WELLNESS GROUP LLC (NPI 1396403408) is a healthcare organization registered as a speech-language pathologist in Philadelphia, Pennsylvania and active in the NPI registry since December 2021. The organization lists Alexandria Wynter Russell, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1396403408

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NameWYNTER WELLNESS GROUP LLC

Location Address1017 S FAIRHILL STPhiladelphia, PA 19147-4007

Mailing Address1017 S Fairhill StPhiladelphia, PA 19147-4007

Phone(215) 690-1336

Fax(215) 392-3462

Organization SubpartNo

Authorized OfficialAlexandria Wynter RussellOwner/provider · (917) 579-6305

Enumeration DateDecember 6, 2021

Last NPPES UpdateApril 12, 20223 updates tracked since enumeration

NPPES CertifiedApril 12, 2022

✔ NPI 1396403408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1017 S FAIRHILL ST, Philadelphia, PA 19147

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wynter Wellness Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wynter Wellness Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alexandria Russell

Qualified Speech Language Pathologist

NPI 1669803664

12 S LETITIA ST APT 204
Philadelphia, PA 19106

(917) 579-6305

✔ Accepts Medicare1.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wynter Wellness Group LLC's NPI number?

The NPI number for Wynter Wellness Group LLC is 1396403408. It was assigned to this organization in the NPPES registry on December 6, 2021.

Where is Wynter Wellness Group LLC located?

Wynter Wellness Group LLC is located at 1017 S Fairhill St, Philadelphia, PA 19147. The listed phone number is (215) 690-1336.

What is Wynter Wellness Group LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Wynter Wellness Group LLC enrolled in Medicare?

Yes. Wynter Wellness Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wynter Wellness Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Wynter Wellness Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wynter Wellness Group LLC was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.