Active NPI
Rod Mark B. Delgado, PT, DPT
- Physical Therapist
- Marlton, NJ
National Provider Identifier
1235774076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01521500
- Practice address
- 215 Deerpark CT
Marlton, NJ 08053-2008 - Phone
- (609) 481-5701
- NPI assigned
- Nov 15, 2019
- Last updated
- Nov 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01521500 | NJ | Primary |
Addresses
Primary practice location
215 Deerpark CT
Marlton, NJ 08053-2008
Mailing address
215 Deerpark CT
Marlton, NJ 08053-2008
Phone (609) 481-5701
Other practice location 1
215 Deerpark Ct
Marlton, NJ 08053-2008
Phone (609) 481-5701
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01521500 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayada Home Health Care, Inc. | Physical Therapist | Past | Accepting new patients |
| Ultima Rehab-NJ LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Geriatric Physical Therapist
- Wall Township, NJ
- NPI 1427426485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1235774076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 DEERPARK CT",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532008",
"telephone_number": "609-481-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 DEERPARK CT",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532008",
"telephone_number": "609-481-5701"
}
],
"practiceLocations": [
{
"address_1": "215 Deerpark Ct",
"address_purpose": "LOCATION",
"city": "Marlton",
"state": "NJ",
"postal_code": "080532008",
"country_code": "US",
"telephone_number": "609-481-5701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELGADO",
"first_name": "ROD MARK",
"middle_name": "B.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-15",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01521500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
- Bruce Delarso, CRNA
- Delaware Valley Gastroenterology Associates MD PA
- Delaware Valley Institute of Fertility & Genetics, PA
- Delaware Valley Surgical Center LLC
- Sarah M Delay, MS, OTR/L
- Samantha Delorenzo, APN
- Vince Deluca
- Natalie P Deming, LCSW
- Victoria Demosthene, RN, MSN, PMHNP-BC
- Catherine A Dempsey, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.