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

University of Penn-Medical Group

Organization Physical Medicine & Rehabilitation Physician · NPI 1760870893

University of Penn-Medical Group is a Physical Medicine & Rehabilitation Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014

Practice location Address checks out

1800 Lombard St Ground Fl
Philadelphia, PA 19146-1414
Phone: (215) 893-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X (PA)

Record details

NPI number1760870893
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Enrollment Lead · (215) 662-6187
NPI enumeratedDecember 23, 2014
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020
Mailing address1800 Lombard St, Ground Floor, Philadelphia, PA 19146-1414

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