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PROACTIVE PHYSICAL MEDICINE, LLC
NPI 1437349131
Clinic/Center - Medical Specialty in Philadelphia, PA

Active since July 29, 2007
1331 E WYOMING AVE, SUITE 1100, PHILADELPHIA, PA 19124(215) 744-4030(215) 744-4582 Get Directions Write a Review

NPPES record last updated: September 1, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Proactive Physical Medicine, Llc NPPES

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

PROACTIVE PHYSICAL MEDICINE, LLC (NPI 1437349131) is a healthcare organization registered as a medical specialty in Philadelphia, Pennsylvania and active in the NPI registry since July 2007. The organization lists Aileen Quell, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1437349131
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePROACTIVE PHYSICAL MEDICINE, LLC
Location Address1331 E WYOMING AVE, SUITE 1100Philadelphia, PA 19124-3808
Mailing Address1331 E Wyoming Ave, Suite 1100Philadelphia, PA 19124-3808 · (215) 744-4030 · Fax (215) 744-4582
Phone(215) 744-4030
Fax(215) 744-4582
Organization SubpartNo
Authorized OfficialAileen QuellBilling Manager · (215) 321-3538
Enumeration DateJuly 29, 2007
Last NPPES UpdateSeptember 1, 2009
✔ NPI 1437349131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1331 E WYOMING AVE, Philadelphia, PA 19124
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER L NGUYEN PHARMD
Pharmacist
1331 E WYOMING AVE, PHARMACY & NUTRITION SHOPPE
PHILADELPHIA, PA 19124
Philadelphia County (215) 537-7626
AKHIL CHOPRA
Internal Medicine (Hematology & Oncology)
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Philadelphia County (847) 746-4333
LAUREN BROWN RRT
Respiratory Therapist, Registered
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 537-7440
SMITH'S PHARMACY INC
Pharmacy
1331 E WYOMING AVE
PHILA, PA 19124
Philadelphia County (215) 537-3000
MS. CAROL F ROTH L.C.S.W.
Social Worker (Clinical)
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 537-7432
KAREEMAH PALACE PARKER
Dietitian, Registered
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 707-1622
SUSHAMA PRASAD APRN
Internal Medicine
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 707-1622
PHILIP HOPKINS MCLEAN MD
Anesthesiology
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 707-3326

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 Proactive Physical Medicine, LLC's NPI number?

The NPI number for Proactive Physical Medicine, LLC is 1437349131. It was assigned to this organization in the NPPES registry on July 29, 2007.

Where is Proactive Physical Medicine, LLC located?

Proactive Physical Medicine, LLC is located at 1331 E Wyoming Ave Suite 1100, Philadelphia, PA 19124. The listed phone number is (215) 744-4030.

What is Proactive Physical Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Proactive Physical Medicine, LLC was last updated on September 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.