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

Philly Dietitian LLC

Organization Registered Dietitian · NPI 1114390085

Philly Dietitian LLC provides Registered Dietitian services in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.

Licensed in
PA
In the registry since
2015
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

1909 Green St
Philadelphia, PA 19130-3244 Not confirmed with CMS for 10 years — call before visiting
Phone: (717) 203-9728
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DN004553 (PA)

Record details

NPI number1114390085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Shank — Registered Dietitian · (717) 203-9728
NPI enumeratedNovember 2, 2015
Last updated in NPPESNovember 2, 2015
Mailing address1909 Green St, Philadelphia, PA 19130-3244

Other providers in Philadelphia