ORIGIN FAMILY WELLNESS LLC
NPI 1477283042
Clinic/Center - Primary Care in Flourtown, PA
About Origin Family Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ORIGIN FAMILY WELLNESS LLC (NPI 1477283042) is a healthcare organization registered as a primary care in Flourtown, Pennsylvania and active in the NPI registry since June 2022. The organization lists Tatiana Kisluk, Dnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Origin Family Wellness LLC's NPI number?
The NPI number for Origin Family Wellness LLC is 1477283042. It was assigned to this organization in the NPPES registry on June 15, 2022.
Where is Origin Family Wellness LLC located?
Origin Family Wellness LLC is located at 1811 Bethlehem Pike Ste A101, Flourtown, PA 19031. The listed phone number is (215) 774-9004.
What is Origin Family Wellness LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
When was this NPI record last updated?
The NPPES record for Origin Family Wellness LLC was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Origin Family Wellness Llc · NPI 1477283042
Primary Care organization in Flourtown, Pennsylvania. Organization record, active in the CMS NPPES registry since June 15, 2022.
## Identity
- **NPI:** 1477283042 (Entity type: Organization)
- **Enumerated:** June 15, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Tatiana Kisluk, DNP
## Practice location
- **Address:** 1811 BETHLEHEM PIKE STE A101, Flourtown, PA 19031-1111
- **Phone:** (215) 774-9004
## Record status
- **NPPES last updated:** September 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477283042) · Data from the CMS NPPES public registry.