Blue Hen Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLUE HEN PHYSICAL THERAPY, INC.

Doing business as

NovaCare Rehabilitation

Practice address

2647 Pulaski Hwy
Newark, DE 19702-3909

Phone

(302) 496-0069

Fax

(302) 496-0070

NPI assigned

May 17, 2023

Last updated

Sep 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John F Duggan

Title

Chief Legal Officer

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other names 1

• NovaCare Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

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.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Newark, DE
  • NPI 1093420663

  O20200917002042

  Same enrollment
• Blue Hen Physical Therapy, Inc.

  dba Novacare Rehabilitation

  • Physical Therapy Clinic/Center
  • Newark, DE
  • NPI 1104861913

  O20200917002042

  Same enrollment

Tax ID family

Blue Hen Physical Therapy Inc2 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.

• Blue Hen Physical Therapy, Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Newark, DE
  • NPI 1093420663
  NPD tax ID

Locations

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mechelle Renae Blandeburgo, CCC-SLP

  • Speech-Language Pathologist
  • Wilmington, DE
  • NPI 1699959254
  NPD
• Joseph D'Uva

  • Physical Therapist
  • Wilmington, DE
  • NPI 1477071207
  NPD
• Magan Forman, PT

  • Physical Therapist
  • Wilmington, DE
  • NPI 1821086786
  NPD
• Steven Thomas Goodwin, DPT

  • Physical Therapist
  • Wilmington, DE
  • NPI 1073891388
  NPD
• Cristian Guzman, PT, DPT

  • Physical Therapist
  • Wilmington, DE
  • NPI 1710612882
  NPD
• Elizabeth Marie Jetter, PT, DPT, MS

  • Physical Therapist
  • Wilmington, DE
  • NPI 1073220240
  NPD
• Joseph P Kelly, OTRLCHT

  • Hand Occupational Therapist
  • Wilmington, DE
  • NPI 1356492870
  NPD
• Troy Jared Koch

  • Physical Therapist
  • Newark, DE
  • NPI 1780209916
  NPD
• Alexandra Sabrina Polon, PT, DPT

  • Physical Therapist
  • Wilmington, DE
  • NPI 1639900913
  NPD
• Troy Staker, DPT

  • Physical Therapist
  • Wilmington, DE
  • NPI 1235915281
  NPD
• Rebecca Susan Tinsman, PT, OCS

  • Physical Therapist
  • Bear, DE
  • NPI 1336120781
  NPD
• Abigail Warner, DPT

  • Physical Therapist
  • Wilmington, DE
  • NPI 1841938032
  NPD

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1174214548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "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": "2647 PULASKI HWY",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023909",
            "telephone_number": "302-496-0069",
            "fax_number": "302-496-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HEN PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NovaCare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Hen Anesthesia Services, LLC
• Blue Hen Chiropractic & Wellness, PA
• Blue Hen Healthcare LLC (Newark Manor Nursing Home)
• Blue Hen Physical Therapy, Inc. (NovaCare Rehabilitation)
• Blue Hen Physical Therapy, Inc. (Novacare Rehabilitation)
• Joseph Blue
• Susan N. Bluhm, ACNP
• Jacob D Bly
• Janice E Boc, NNP
• Alex B Bodenstab, MD

• Physical Therapy Clinic/Center in Newark, DE
• Providers in Newark, DE by specialty
• Physical Therapy Clinic/Center in Delaware

• 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.