Individual provider Active NPI

Delaila Naadedei Aryee, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1104100585
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021445 Issued in PA
Practice address
5008 Baltimore Ave
2ND Floor, Suite D
Philadelphia, PA 19143-4271
Phone
(215) 650-7383
Fax
(215) 747-1080
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT021445 PA Primary

Addresses

Primary practice location

5008 Baltimore Ave
2ND Floor, Suite D
Philadelphia, PA 19143-4271

Mailing address

5008 Baltimore Ave
2ND Floor, Suite D
Philadelphia, PA 19143-4271
Phone (215) 747-7383

Other identifiers 2

IdentifierTypeStateIssuer
47-4506800OtherPATAX ID - VITAL STEP PHYSICAL THERAPY & FITNESS, P.C.
1528438793OtherPANPI - VITAL STEP PHYSICAL THERAPY & FITNESS, P.C.

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT021445PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1104100585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 BALTIMORE AVE",
            "address_2": "2ND FLOOR, SUITE D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191434271",
            "telephone_number": "215-747-7383",
            "fax_number": "217-747-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 BALTIMORE AVE",
            "address_2": "2ND FLOOR, SUITE D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191434271",
            "telephone_number": "215-650-7383",
            "fax_number": "215-747-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARYEE",
        "first_name": "DELAILA",
        "middle_name": "NAADEDEI",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID - VITAL STEP PHYSICAL THERAPY & FITNESS, P.C.",
            "identifier": "47-4506800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - VITAL STEP PHYSICAL THERAPY & FITNESS, P.C.",
            "identifier": "1528438793",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.