Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Proactive Physical Medicine, LLC

Organization Medical Specialty Clinic/Center · NPI 1437349131

Proactive Physical Medicine, LLC is a Medical Specialty Clinic/Center in Philadelphia, Pennsylvania. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1331 E Wyoming Ave Ste 1100
Philadelphia, PA 19124-3808
Phone: (215) 744-4030
Fax: (215) 744-4582
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1437349131
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aileen Quell — Billing Manager · (215) 321-3538
NPI enumeratedJuly 29, 2007
Last updated in NPPESSeptember 1, 2009
Mailing address1331 E Wyoming Ave, Suite 1100, Philadelphia, PA 19124-3808

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