Individual provider Active NPI

Mara Jeanine Driggers, DPT

  • Physical Therapist
  • Millsboro, DE
National Provider Identifier
1053660845
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24157 Issued in MD
Practice address
232 Mitchell St
Millsboro, DE 19966-9412
Phone
(302) 934-5830
NPI assigned
Sep 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24157 MD Primary
Physical Therapist 225100000X 6447 SC
Physical Therapist 225100000X J1-0002902 DE

Addresses

Primary practice location

232 Mitchell St
Millsboro, DE 19966-9412

Mailing address

31326 Founders Ave
Selbyville, DE 19975-3728
Phone (410) 952-3114

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24157MDMDSocial Worker
J1-0002902DEMDPhysical Therapist
6447SCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1053660845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31326 FOUNDERS AVE",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199753728",
            "telephone_number": "410-952-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MITCHELL ST",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199669412",
            "telephone_number": "302-934-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIGGERS",
        "first_name": "MARA",
        "middle_name": "JEANINE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24157",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6447",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.