Healthcare Provider Details

I. General information

NPI: 1700307329
Provider Name (Legal Business Name): BONES FITNESS PARTNERSHIPS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2017
Last Update Date: 09/19/2025
Certification Date: 01/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1528 WALNUT ST STE 300
PHILADELPHIA PA
19102-3626
US

IV. Provider business mailing address

1528 WALNUT ST STE 300
PHILADELPHIA PA
19102-3626
US

V. Phone/Fax

Practice location:
  • Phone: 215-545-6500
  • Fax:
Mailing address:
  • Phone: 215-545-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. HECTOR ENRIQUE BONES
Title or Position: MANAGING PARTNER
Credential:
Phone: 717-841-2254