Active NPI
Eileen M Kane, PT, CHT
- Physical Therapist
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0003672
- Practice address
- 1030 Forrest Ave Ste 105a
Dover, DE 19904-3310 - Phone
- (302) 268-8880
- Fax
- (302) 278-0272
- NPI assigned
- May 18, 2007
- Last updated
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01230700 | NJ | |
| Physical Therapist | 225100000X | 9232PT | AZ | |
| Physical Therapist | 225100000X | PT017843 | PA | |
| Physical Therapist | 225100000X | J1-0003672 | DE | Primary |
Addresses
Primary practice location
1030 Forrest Ave Ste 105a
Dover, DE 19904-3310
Mailing address
750 Prides Xing Ste 112
Newark, DE 19713-6107
Phone (302) 864-2222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2812773000 | Other | PA | IBC - KEYSTONE |
| 9232 | Other | AZ | ARIZONA BOARD OF PHYSICAL THERAPY |
| 40QA0123070 | Other | NJ | NJ STATE BOARD OF PHYSICAL THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1030 Forrest Ave
Suite 105a
Dover, DE 19904-3310
Phone (302) 268-8880
750 Prides Xing
Suite 112
Newark, DE 19713-6107
Phone (302) 864-2222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9232 | AZ | MD | Chiropractor |
| 9232PT | AZ | MD | Physical Therapist |
| 40QA01230700 | NJ | MD | Physical Therapist |
| PT017843 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First State Orthopaedics, PA | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Callaway Franceschini LLC | Physical Therapist | Current | Accepting new patients |
| First State Orthopaedics PA | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Callaway Franceschini LLC | Physical Therapist | Current | Accepting new patients |
| Neurological Regional Associates, P.a. | Past | Accepting new patients |
Locations
1030 Forrest Ave
Ste 105A
Dover, DE 19904
Phone (302) 268-8880
601 Tower Ln
Ste 202
Middletown, DE 19709
Phone (302) 268-8880
4745 Ogletown Stanton Rd
Ste 238
Newark, DE 19713
750 Prides Xing
Ste 112
Newark, DE 19713
Phone (302) 864-2222
19266 Coastal Hwy
Unit 10
Rehoboth Beach, DE 19971
Phone (302) 226-2230
1722 Naamans Rd
Wilmington, DE 19810
Phone (302) 722-6419
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
Interoperability endpoints
- eileen.kaneptcht.p1@direct.fsoortho.nextgenshare.com
Organizations & group practices 8
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.
-
dba Orthopaedic Associates of Southern Delaware
- Orthopaedic Surgery Physician
- Lewes, DE
- NPI 1184681488
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
DE, Physical Therapist
-
- Orthopaedic Surgery Physician
- Newark, DE
- NPI 1346220266
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Neurology Physician
- Maple Shade, NJ
- NPI 1588733240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1184832503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 PRIDES XING STE 112",
"city": "NEWARK",
"state": "DE",
"postal_code": "197136107",
"telephone_number": "302-864-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 FORREST AVE STE 105A",
"city": "DOVER",
"state": "DE",
"postal_code": "199043310",
"telephone_number": "302-268-8880",
"fax_number": "302-278-0272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "EILEEN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PT, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01230700",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "9232PT",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT017843",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003672",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC - KEYSTONE",
"identifier": "2812773000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA BOARD OF PHYSICAL THERAPY",
"identifier": "9232",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ STATE BOARD OF PHYSICAL THERAPY",
"identifier": "40QA0123070",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.