Individual provider Active NPI

Eileen M Kane, PT, CHT

  • Physical Therapist
  • Dover, DE
National Provider Identifier
1184832503
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0003672 Issued in DE
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2812773000OtherPAIBC - KEYSTONE
9232OtherAZARIZONA BOARD OF PHYSICAL THERAPY
40QA0123070OtherNJNJ STATE BOARD OF PHYSICAL THERAPY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170329000061 DE Practitioner - Physical Therapist in Private Practice 9830373646 Reassigns benefits to 3 organizations

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
Callaway Franceschini LLCGroup PAC ID 4880024496, 25 clinicians
First State Orthopaedics PAGroup PAC ID 6103800057, 97 clinicians

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

LicenseStateTypeSpecialty
9232AZMDChiropractor
9232PTAZMDPhysical Therapist
40QA01230700NJMDPhysical Therapist
PT017843PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First State Orthopaedics, PA Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 1, 2018 Accepting new patients
Callaway Franceschini LLC Physical Therapist CurrentSince Sep 27, 2021 Accepting new patients
First State Orthopaedics PA Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 1, 2018 Accepting new patients
Callaway Franceschini LLC Physical Therapist CurrentSince Sep 27, 2021 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.