Active NPI
Linda Medio
- Physical Therapist
- Wilmington, DE
National Provider Identifier
1053524322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0002064
- Practice address
- 3911 N Washington St
Wilmington, DE 19802-2147 - Phone
- (302) 764-8192
- Fax
- (302) 764-8185
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Lewes, DE
- NPI 1508404039
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- Occupational Therapist
- Rehoboth Beach, DE
- NPI 1225637051
Physical Therapist
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dynamic Therapy Services LLC
Practice addresses (Care Compare)
3911 Washington St
Wilmington, DE 19802-2147
Phone (302) 764-8192
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.27 of 100
- Quality
- 85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.4
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100429000419 | DE | Practitioner - Physical Therapist in Private Practice | 8224165923 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
| Dynamic Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
Locations
3911 N Washington St
Wilmington, DE 19802
Phone (302) 764-8192
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0002064 | DE | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3911 N Washington St
Wilmington, DE 19802-2147
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (803) 812-3656
Other identifiers 4
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00885359 | Other | DE | RAILROAD MEDICARE |
| 1053824322 | Medicaid | DE | |
| 0002266222 | Other | DE | DPCI |
| 3767398000 | Other | DE | AMERIHEALTH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 12, 2024.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1053524322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "803-812-3656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 N WASHINGTON ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198022147",
"telephone_number": "302-764-8192",
"fax_number": "302-764-8185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDIO",
"first_name": "LINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0002064",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00885359",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053824322",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPCI",
"identifier": "0002266222",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "3767398000",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.