MEDICARE: NORTHEAST AQUA AND PHYSICAL THERAPY CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1740385814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHEAST AQUA AND PHYSICAL THERAPY CENTER INC

Provider Business Mailing Address
First Line	:	9150 MARSHALL ST
Second Line	:	SUITE 9
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-2217
Country	:	US
Telephone Number	:	215-969-2101
Fax Number	:

Provider Business Practice Location Address
First Line	:	9150 MARSHALL ST
Second Line	:	SUITE 9
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-2217
Country	:	US
Telephone Number	:	215-969-2101
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RUSLANA VOLOSHEN
Credential	:
Telephone Number	:	215-969-2101

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	10/04/2007

Similar Medicare Providers

1477512689 — DR. MAURICE ROTH M.D.
Practice Location Address:

9150 MARSHALL ST , SUITE 4
PHILADELPHIA, PA
19114-2217

Practice Phone: 215-676-4550
Practice Fax: 215-676-4711

1578527438 — MRS. SOPHIA S VINOGRADOVF M.D.
Practice Location Address:

9150 MARSHALL ST
PHILADELPHIA, PA
19114-2217

Practice Phone: 215-698-1442
Practice Fax:

1538109707 — ELENA ANNOPOLSKY M.D.P.C.
Practice Location Address:

9150 MARSHALL ST , STE 17
PHILADELPHIA, PA
19114-2217

Practice Phone: 215-698-1995
Practice Fax:

1912926718 — DARYL C WATSON M.D.
Practice Location Address:

9150 MARSHALL ST STE 2
PHILADELPHIA, PA
19114-2217

Practice Phone: 215-464-4450
Practice Fax: 215-464-0445

1689688947 — AKSANA A PERAKROSTAVA
Practice Location Address:

9150 MARSHALL ST , SUITE #7
PHILADELPHIA, PA
19114-2217

Practice Phone: 215-677-6194
Practice Fax:

1134222474 — ORTHOPEDIC SUPPLY INC
Practice Location Address:

9150 MARSHALL ST , SUITE 7
PHILADELPHIA, PA
19114-2217

Practice Phone: 215-677-6194
Practice Fax:

Directions to “NORTHEAST AQUA AND PHYSICAL THERAPY CENTER INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.