Jillanne Burke, PT, DPT – Physical Therapist

Key facts

NPI: 1003335753
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: J1-0002827 (DE)
Practice address: 807 W 22ND St
Wilmington, DE 19802-3301
Phone: (302) 290-1587
NPI assigned: Sep 13, 2017
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
J1-0002827	DE	MD	Physical Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	J1-0002827	DE	Yes

Addresses

Primary practice location

807 W 22ND St
Wilmington, DE 19802-3301

Mailing address

807 W 22ND St
Wilmington, DE 19802-3301

Other names

Jillanne Smiley Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 13, 2017.

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1003335753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 W 22ND ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 W 22ND ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023301",
            "telephone_number": "302-290-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JILLANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLANNE",
            "last_name": "SMILEY",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

All providers in Wilmington, DE · Physical Therapist in Delaware

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.