NPIMap

Organization Active NPI

Delmarva PT Services, LLC

  • Physical Therapist
  • Berlin, MD
National Provider Identifier
1053889477
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DELMARVA PT SERVICES, LLC
Practice address
10452 Old Ocean City Blvd Unit 10
Berlin, MD 21811-1177
Phone
(443) 206-0502
NPI assigned
Nov 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Justin YerkesNPI 1952702839
Title
Physical Therapist
Phone
(443) 206-0502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

10452 Old Ocean City Blvd Unit 10
Berlin, MD 21811-1177

Mailing address

PO Box 166
Berlin, MD 21811-0166

Other practice location 1

100 8th St
Pocomoke City, MD 21851-1129
Phone (757) 854-8302

Other names 1

  • Delmarva PT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190114002938 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7618213596 Receives reassigned benefits from 2 practitioners
Practice locations: Berlin, MD; Pocomoke City, MD

National Provider Directory

National Provider Directory
Tax ID family
Delmarva2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10452 Old Ocean City Blvd
Unit 10
Berlin, MD 21811
Phone (410) 575-4569

10452 Old Ocean City Blvd
Unit 14
Berlin, MD 21811

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1053889477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218110166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10452 OLD OCEAN CITY BLVD UNIT 10",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111177",
            "telephone_number": "443-206-0502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 8th St",
            "address_purpose": "LOCATION",
            "city": "Pocomoke City",
            "state": "MD",
            "postal_code": "218511129",
            "country_code": "US",
            "telephone_number": "757-854-8302",
            "fax_number": "443-281-6622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DELMARVA PT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-03",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "YERKES",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "443-206-0502"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delmarva PT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delmarva PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.