Pediatricks

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PEDIATRICKS

Practice address

23 Forest Creek Dr
Hockessin, DE 19707-2017

Phone

(302) 540-7006

NPI assigned

Nov 18, 2021

Last updated

Nov 18, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jaclyn Petuya, DPTNPI 1669842100

Title

Physical Therapist and Owner

Phone

(302) 540-7006

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaclyn Wooters Petuya, DPT

  • Physical Therapist
  • Hockessin, DE
  • NPI 1669842100
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1053078584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 FOREST CREEK DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197072017",
            "telephone_number": "302-540-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 FOREST CREEK DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197072017",
            "telephone_number": "302-540-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "PETUYA",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST AND OWNER",
        "authorized_official_telephone_number": "302-540-7006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.pediatrickspt.com",
            "affiliation": "N",
            "address_1": "23 Forest Creek Dr",
            "city": "Hockessin",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197072017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Renee M. Paoli
• Raymond L Para, DDS
• Chaitali Vivekkumar Patel
• Swara Patel
• Eugene Thomas Paulus, DPT
• Performance Physical Therapy, Inc
• Jaclyn Wooters Petuya, DPT
• Physiotherapy Assoicates, Inc.
• Amanda Logan Porter, PA-C
• Powerback Rehabilitation LLC (Powerback Rehabilitation)

• Physical Therapist in Hockessin, DE
• Providers in Hockessin, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.