NORTHEAST FAMILY MEDICAL AND REHABILITATION CENTER, P.C
NPI 1679795843
Chiropractor - Rehabilitation in Philadelphia, PA

Active since May 03, 2007
1306 COTTMAN AVE, PHILADELPHIA, PA 19111(215) 745-1212(215) 745-4427 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northeast Family Medical And Rehabilitation Center, P.c NPPES

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

NORTHEAST FAMILY MEDICAL AND REHABILITATION CENTER, P.C (NPI 1679795843) is a healthcare organization registered as a rehabilitation in Philadelphia, Pennsylvania and active in the NPI registry since May 2007. The organization lists Mark Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1679795843
Entity TypeOrganization
Primary Taxonomy111NR0400X
Legal Business NameNORTHEAST FAMILY MEDICAL AND REHABILITATION CENTER, P.C
Location Address1306 COTTMAN AVEPhiladelphia, PA 19111-3606
Mailing Address1306 Cottman AvePhiladelphia, PA 19111-3606 · (215) 745-1212 · Fax (215) 745-4427
Fax(215) 745-4427
Organization SubpartNo
Authorized OfficialMark BrownOwner · (215) 745-1212
Enumeration DateMay 3, 2007
Last NPPES UpdateJune 5, 2013
✔ NPI 1679795843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
1306 COTTMAN AVE, Philadelphia, PA 19111

Other Identifiers 1

Medicare ID-Type Unspecified051030PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Family Medical And Rehabilitation Center, P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20040830000308Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Northeast Family Medical And Rehabilitation Center, P.C, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1366466302
1306 COTTMAN AVE
Philadelphia, PA 19111
(215) 745-1212
✔ PECOSSame address
Chiropractic
NPI 1710907712
1306 COTTMAN AVE
Phila, PA 19111
(215) 745-1212
✔ Accepts MedicareSame address

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 Northeast Family Medical And Rehabilitation Center, P.C's NPI number?

The NPI number for Northeast Family Medical And Rehabilitation Center, P.C is 1679795843. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Northeast Family Medical And Rehabilitation Center, P.C located?

Northeast Family Medical And Rehabilitation Center, P.C is located at 1306 Cottman Ave, Philadelphia, PA 19111. The listed phone number is (215) 745-1212.

What is Northeast Family Medical And Rehabilitation Center, P.C's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Is Northeast Family Medical And Rehabilitation Center, P.C enrolled in Medicare?

Yes. Northeast Family Medical And Rehabilitation Center, P.C is registered in the Medicare PECOS enrollment system.

When is Northeast Family Medical And Rehabilitation Center, P.C's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Northeast Family Medical And Rehabilitation Center, P.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Northeast Family Medical And Rehabilitation Center, P.C, in Chiropractic and Internal Medicine. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northeast Family Medical And Rehabilitation Center, P.C was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.