Organization Active NPI

Blue Hen Physical Therapy, Inc.

Physical Therapy Clinic/Center
Newark, DE

National Provider Identifier

1104861913

Registry record updated Sep 8, 2025

On this page

Key facts
Authorized official
Other NPIs on the same Medicare enrollment2
Member of1
Practitioners31
Medicare participation
Medicare enrollment records2
National Provider Directory
Specialties & licenses2
Addresses
Other names1
NPI Registry JSON
Other providers in Newark, DE
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name: BLUE HEN PHYSICAL THERAPY, INC.
Practice address: 425 New London Rd
Newark, DE 19711-7009
Phone: (302) 453-1588
Fax: (302) 453-9705
NPI assigned: Jun 17, 2006
Organization subpart: No

Authorized official

NPPES NPI Registry

Name: Mr. John F Duggan
Title: Chief Legal Officer
Phone: (717) 972-1100

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Blue Hen Physical Therapy, Inc.
- Physical Therapy Clinic/Center
- Newark, DE
- NPI 1093420663
O20200917002042
Same enrollment
Blue Hen Physical Therapy, Inc.
- Physical Therapy Clinic/Center
- Newark, DE
- NPI 1174214548
O20200917002042
Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Physiotherapy Associates Inc
- Rehabilitation Clinic/Center
- Upland, CA
- NPI 1619011160
Member Of
NPD member

Practitioners 31

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

Joseph D'Uva
- Physical Therapist
- Wilmington, DE
- NPI 1477071207
DE
Medicare reassignment Care Compare group NPD
Steven Thomas Goodwin, DPT
- Physical Therapist
- Wilmington, DE
- NPI 1073891388
DE
Medicare reassignment Care Compare group NPD
Elizabeth Marie Jetter, PT, DPT, MS
- Physical Therapist
- Wilmington, DE
- NPI 1073220240
DE
Medicare reassignment Care Compare group NPD
Troy Jared Koch
- Physical Therapist
- Newark, DE
- NPI 1780209916
DE
Medicare reassignment Care Compare group NPD
Thomas Kersch Videtich Bye, PT, DPT, MS, SCS
- Physical Therapist
- Minneapolis, MN
- NPI 1134889413
DE
Medicare reassignment Care Compare group NPD
Aaron Wong, DPT
- Physical Therapist
- Philadelphia, PA
- NPI 1205468170
DE
Medicare reassignment Care Compare group NPD
Charles-Maryse Daniel, DPT
- Physical Therapist
- Wilmington, DE
- NPI 1558874602
DE
Medicare reassignment Care Compare group
Mechelle Renae Blandeburgo, CCC-SLP
- Speech-Language Pathologist
- Wilmington, DE
- NPI 1699959254
DE
Medicare reassignment NPD
Magan Forman, PT
- Physical Therapist
- Wilmington, DE
- NPI 1821086786
DE
Medicare reassignment NPD
Cristian Guzman, PT, DPT
- Physical Therapist
- Wilmington, DE
- NPI 1710612882
DE
Medicare reassignment NPD
Joseph P Kelly, OTRLCHT
- Hand Occupational Therapist
- Wilmington, DE
- NPI 1356492870
DE
Medicare reassignment NPD
Alexandra Sabrina Polon, PT, DPT
- Physical Therapist
- Wilmington, DE
- NPI 1639900913
DE
Medicare reassignment NPD
Troy Staker, DPT
- Physical Therapist
- Wilmington, DE
- NPI 1235915281
DE
Medicare reassignment NPD
Rebecca Susan Tinsman, PT, OCS
- Physical Therapist
- Bear, DE
- NPI 1336120781
DE
Medicare reassignment NPD
Abigail Warner, DPT
- Physical Therapist
- Wilmington, DE
- NPI 1841938032
DE
Medicare reassignment NPD
Dylan Zelenski
- Physical Therapist
- Newark, DE
- NPI 1033767090
DE
Medicare reassignment NPD
Christopher Clark, OTR/L
- Occupational Therapist
- Glen Mills, PA
- NPI 1285088385
DE
Medicare reassignment NPD
Zhaohua Guan
- Physical Therapist
- Elkton, MD
- NPI 1487474920
DE
Medicare reassignment NPD
Christian Levi Guzman, DPT
- Physical Therapist
- Deer Park, TX
- NPI 1477369494
DE
Medicare reassignment NPD
Matthew Johnson
- Physical Therapist
- Oxford, PA
- NPI 1316656119
DE
Medicare reassignment NPD
Rachel Kaye Borland, DPT
- Physical Therapist
- Wilmington, DE
- NPI 1306575246
DE
Medicare reassignment
Michele L. Woodbridge, PT
- Physical Therapist
- Wilmington, DE
- NPI 1366509887
DE
Medicare reassignment
Gregory Nealis, DPT
- Physical Therapist
- Philadelphia, PA
- NPI 1932597259
DE
Medicare reassignment
Zoey Bezilla, DPT
- Physical Therapist
- Newark, DE
- NPI 1043072580
NPD
Dominique Denisse Carpio, OTR/L
- Occupational Therapist
- Newark, DE
- NPI 1962143479
NPD

View all 31

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment: Enrolled in DE2 enrollments

Medicare enrollment records 2

Medicare enrollment files

Enrollment ID	State	Provider type	PAC ID	Details
O20030529000051	DE	Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services	0446160790	Practice locations: Newark, DE
O20200917002042	DE	Part B Supplier - Clinic/Group Practice	0446160790	Receives reassigned benefits from 23 practitioners 2 other NPIs on this enrollment Practice locations: Newark, DE

National Provider Directory

Locations

2647 Pulaski Hwy
Newark, DE 19702
Phone (302) 496-0069

407 New London Rd
Ste 425
Newark, DE 19711

Specialties & licenses 2

NPPES NPI Registry

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapy Clinic/Center	261QP2000X			Primary
Rehabilitation Clinic/Center	261QR0400X

Addresses

NPPES NPI Registry

Primary practice location

425 New London Rd
Newark, DE 19711-7009

Mailing address

4714 Gettysburg Rd
Legal Dept
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other names 1

NPPES NPI Registry

Novacare Rehabilitation Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2025.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1104861913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 NEW LONDON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117009",
            "telephone_number": "302-453-1588",
            "fax_number": "302-453-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HEN PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novacare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novacare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.