Individual provider Active NPI

Gregory Edmund Rybicki, PT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1114080322
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J10000183 Issued in DE
Practice address
3604 Lancaster Pike
Wilmington, DE 19805-1600
Phone
(302) 995-6095
Fax
(302) 995-6096
NPI assigned
Dec 18, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 J10000183 DE Primary

Addresses

Primary practice location

3604 Lancaster Pike
Wilmington, DE 19805-1600

Mailing address

3604 Lancaster Pike
Wilmington, DE 19805-1600
Phone (302) 995-6095

Other identifiers 3

IdentifierTypeStateIssuer
1000032905MedicaidDE
8190323OtherAETNA
1000032543MedicaidDE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Delaware LLC Physical Therapist PastSince Jun 17, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114080322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 LANCASTER PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051600",
            "telephone_number": "302-995-6095",
            "fax_number": "302-995-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 LANCASTER PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051600",
            "telephone_number": "302-995-6095",
            "fax_number": "302-995-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBICKI",
        "first_name": "GREGORY",
        "middle_name": "EDMUND",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10000183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000032905",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8190323",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000032543",
            "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 Jul 9, 2007; 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.