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NPI Code Detail

MEDICARE: CATALYST PHYSICAL THERAPY AND WELLNESS CENTER, INC.

MEDICARE: CATALYST PHYSICAL THERAPY AND WELLNESS 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
1261QP2000XPhysical Therapy Clinic/CenterPT-013787-LPA

General Provider Information

NPI Number : 1942316195
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATALYST PHYSICAL THERAPY AND WELLNESS CENTER, INC.
Provider Business Mailing Address
First Line : 1413 W MOYAMENSING AVE
Second Line : 1ST FLOOR
City : PHILADELPHIA
State : PA
Zip : 19145-4625
Country : US
Telephone Number : 267-639-2555
Fax Number : 267-639-2632
Provider Business Practice Location Address
First Line : 1413 W MOYAMENSING AVE
Second Line : 1ST FLOOR
City : PHILADELPHIA
State : PA
Zip : 19145-4625
Country : US
Telephone Number : 267-639-2555
Fax Number : 267-639-2632
Authorized Official
Title or Position : PRESIDENT
Name : CARL CONTINO
Credential : MS, PT
Telephone Number : 267-639-2555
Provider Enumeration Date : 08/21/2006
Last Update Date : 09/05/2013

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Practice Location Address:
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