OrganizationActive
Proactive Physical Medicine, LLC
NPI 1437349131 · Medical Specialty Clinic/Center · Philadelphia, PA
Provider details
- NPI number
- 1437349131
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Aileen Quell, Billing Manager(215) 321-3538
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1331 E Wyoming Ave
Suite 1100
Philadelphia, PA 19124-3808
Phone: (215) 744-4030
Fax: (215) 744-4582
Approximate (ZIP-level) locationGet directions
Mailing address
1331 E Wyoming Ave
Philadelphia, PA 19124-3808
Registry dates
- Enumerated
- 2007-07-29
- Last updated
- 2009-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.