Active NPI
Lindell Physical Therapy of Delaware PA
- Rehabilitation Practitioner
- Wilmington, DE
National Provider Identifier
1194805705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Legal business name
- LINDELL PHYSICAL THERAPY OF DELAWARE PA
- Practice address
- 3300 Concord Pike Ste 4
Wilmington, DE 19803-5038 - Phone
- (302) 753-2700
- Fax
- (302) 478-1975
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jay Stuart Kogon, P.T.
- Title
- Owner/President
- Phone
- (302) 998-7572
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
3300 Concord Pike Ste 4
Wilmington, DE 19803-5038
Mailing address
3300 Concord Pike Ste 4
Wilmington, DE 19803-5038
Phone (302) 753-2700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 282041 | Other | DE | MAMSI |
| 222340196 | Other | DE | BCBS |
| 57287 | Other | DE | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3300 Concord Pike
Ste 4
Wilmington, DE 19803
Phone (302) 753-2700
3300 Concord Pike
Wilmington, DE 19803
Phone (302) 753-2700
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Wilmington, DE
- NPI 1407872179
-
- Physical Therapist
- Wilmington, DE
- NPI 1407513930
-
- Speech-Language Pathologist
- Wilmington, DE
- NPI 1679174114
-
- Physical Therapist
- Wilmington, DE
- NPI 1770004426
-
- Occupational Therapist
- Wilmington, DE
- NPI 1609301852
-
- Speech-Language Pathologist
- Wilmington, DE
- NPI 1174292924
-
- Physical Therapist
- Wilmington, DE
- NPI 1992146674
-
- Neurorehabilitation Occupational Therapist
- Wilmington, DE
- NPI 1528651213
-
- Occupational Therapist
- Wilmington, DE
- NPI 1508350315
-
- Physical Therapist
- Wilmington, DE
- NPI 1083987028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751241600000",
"number": "1194805705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 CONCORD PIKE STE 4",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198035038",
"telephone_number": "302-753-2700",
"fax_number": "302-478-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 CONCORD PIKE STE 4",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198035038",
"telephone_number": "302-753-2700",
"fax_number": "302-478-1975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDELL PHYSICAL THERAPY OF DELAWARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A",
"authorized_official_last_name": "KOGON",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "STUART",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "302-998-7572",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "282041",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "222340196",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "57287",
"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 Jun 30, 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.