Philly Dietitian LLC
NPI 1114390085 · Registered Dietitian · Philadelphia, PA
Philly Dietitian LLC is a Registered Dietitian organization in Philadelphia, PA (NPI 1114390085).
Provider details
- NPI number
- 1114390085
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Theresa Shank, Registered Dietitian(717) 203-9728
- License
- DN004553 (PA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-11-02
- Last updated
- 2015-11-02
Frequently asked questions
- What is Philly Dietitian LLC's NPI number?
- Philly Dietitian LLC's National Provider Identifier (NPI) is 1114390085, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Philly Dietitian LLC?
- Philly Dietitian LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Philly Dietitian LLC located?
- Philly Dietitian LLC's practice location on file with NPPES is 1909 Green St, Philadelphia, PA 19130-3244.
- What is Philly Dietitian LLC's phone number?
- The practice phone number listed in the NPPES registry for Philly Dietitian LLC is (717) 203-9728.
- Who is the authorized official for Philly Dietitian LLC?
- The authorized official listed on Philly Dietitian LLC's NPPES record is Theresa Shank, Registered Dietitian. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Philly Dietitian LLC's NPI active?
- Yes — Philly Dietitian LLC's NPI (1114390085) is active in the NPPES registry as of the last update on 2015-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.