AQUAHAB LP NPI 1679718191

NPI Information

  • NPI: 1679718191
  • Provider Name: AQUAHAB, LP
  • Classification: Nutritionist - 133NN1002X
  • Specialization: Nutrition, Education
  • Entity Type: Organization
  • Doing Business As: AQUAHAB PHYSICAL THERAPY
  • Address: 3600 GRANT AVE
    PHILA, PA
    ZIP 19114
  • Phone: (215) 677-0400

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NPI Details

AQUAHAB, LP is a nutrition and education nutritionist in Phila, PA. AQUAHAB, LP NPI is 1679718191. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Aquahab Physical Therapy.

The provider's business location address is:

3600 GRANT AVE
PHILA, PA
ZIP 19114-630
Phone: (215) 677-0400
Fax: (215) 671-1837

The provider's authorized official is Deborah Siedlecki .
The authorized official title is Billing Supervisor and has the following contact phone number (215) 677-0400.

The enumeration date for this NPI number is 12/12/2008 and was last updated on 12/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133NN1002XNutritionistNutrition, EducationDN003739PENNSYLVANIANo
2133NN1002XNutritionistNutrition, EducationDN003889PENNSYLVANIANo
3133NN1002XNutritionistNutrition, EducationDN002660PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12864330000OTHERPENNSYLVANIAINDEPENDENCE BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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