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

Wisteria Pain and Spine LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1538941117

Wisteria Pain and Spine LLC is a Physical Medicine & Rehabilitation Physician in Wyncote, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2401 W Cheltenham Ave Ste 312
Wyncote, PA 19095-2946
Phone: (445) 300-7313
Fax: (445) 269-5619
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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

Record details

NPI number1538941117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christian Acharte — President · (215) 722-9074
NPI enumeratedOctober 18, 2023
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing address2401 W Cheltenham Ave Ste 312, Wyncote, PA 19095-2946

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