Unknown Individual – Neuromusculoskeletal Medicine & OMM Physician, NPI 1790715001

Unknown Individual is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Neuromusculoskeletal Medicine & OMM Physician. They hold a License No. OS001890L (PA). The NPI Number for Unknown Individual is 1790715001

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790715001
Phone
(215) 339-4701
Address
1900 S. BROAD ST.
Deactivation Date
15 May 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • Broad Street, South Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19145, United States

    PHILADELPHIA, PA 19145

    Phone: (215) 339-4701

    Type: Mailing

  • South Broad Street, Philadelphia, Philadelphia County, Pennsylvania, 19110, United States

    PHILADELPHIA, PA 191452304

    Phone: (215) 339-4701

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19145)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1790715001.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Neuromusculoskeletal Medicine & OMM Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Philadelphia, Pennsylvania as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

EVAN A. NICHOLAS (DO)

Neuromusculoskeletal Medicine & OMM Physician
Rowland Hall, 4190, City Avenue, Pencoyd, Philadelphia, Philadelphia County, Pennsylvania, 19131, United States
NPI: 1457353336

ALEXANDER S. NICHOLAS (DO)

Neuromusculoskeletal Medicine & OMM Physician
Rowland Hall, 4190, City Avenue, Pencoyd, Philadelphia, Philadelphia County, Pennsylvania, 19131, United States
NPI: 1639171598

DR. SARETA MARIE COUBAROUS (D.O.)

Physical Medicine & Rehabilitation Physician
610 YORK RD STE 400
NPI: 1558323196

DAVID B FULLER (D.O.)

Neuromusculoskeletal Medicine & OMM Physician
Rowland Hall, 4190, City Avenue, Pencoyd, Philadelphia, Philadelphia County, Pennsylvania, 19131, United States
NPI: 1992742977
PO BOX 824112
NPI: 1881635704

RANDY GILBERT LITMAN (D.O.)

Neuromusculoskeletal Medicine & OMM Physician
American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States
NPI: 1942389705

DR. DARREN C MCAULEY (DO)

Neuromusculoskeletal Medicine & OMM Physician
2600 Lake Lucien Dr Ste 112
NPI: 1013086917

DR. LAUREN NOTO BELL (D.O.)

Neuromusculoskeletal Medicine & OMM Physician
4190 CITY AVE
NPI: 1023140605

GERALD SKOBINSKY PC

Neuromusculoskeletal Medicine & OMM Physician
6615 TORRESDALE AVE
NPI: 1063545838