Active NPI
Troy Staker, DPT
- Physical Therapist
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0014745
- Practice address
- 3567 Silverside Rd
Wilmington, DE 19810-4903 - Phone
- (302) 529-1911
- NPI assigned
- Sep 6, 2023
- Last updated
- Sep 7, 2023
- Sex
- Male
- Sole proprietor
- No
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 | J1-0014745 | DE | Primary |
Addresses
Primary practice location
3567 Silverside Rd
Wilmington, DE 19810-4903
Mailing address
17 Hurst Rd
Wilmington, DE 19803-3716
Phone (302) 757-0491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0014745 | DE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Hen Physical Therapy, Inc. | Current | Accepting new patients | |
| Blue Hen Physical Therapy, Inc. | Current | Accepting new patients | |
| Blue Hen Physical Therapy, Inc. | Current | Accepting new patients | |
| Rehabclinics SPT Inc | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates, Inc. | Current | Accepting new patients | |
| Rehabclinics SPT, Inc. | Past | Accepting new patients |
Locations
256 Foxhunt Dr
Bear, DE 19701
Phone (302) 834-8650
320 Grove Ln
Newark, DE 19711
Phone (302) 565-2244
425 New London Rd
Newark, DE 19711
Phone (302) 453-1588
2401 Pennsylvania Ave
Ste 111
Wilmington, DE 19806
Phone (302) 655-5877
2401 Pennsylvania Ave
Ste 112
Wilmington, DE 19806
Phone (302) 655-5877
3567 Silverside Rd
Wilmington, DE 19810
Phone (302) 453-1588
Organizations & group practices 7
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 Novacare Rehabilitation
- Physical Therapy Clinic/Center
- Newark, DE
- NPI 1104861913
-
dba Novacare Rehabilitation
- Physical Therapy Clinic/Center
- Wilmington, DE
- NPI 1770660250
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Newark, DE
- NPI 1093420663
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Newark, DE
- NPI 1174214548
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Wilmington, DE
- NPI 1659375061
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Chalfont, PA
- NPI 1952009482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1235915281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 HURST RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198033716",
"telephone_number": "302-757-0491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3567 SILVERSIDE RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198104903",
"telephone_number": "302-529-1911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAKER",
"first_name": "TROY",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-06",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0014745",
"primary": true
}
],
"identifiers": [],
"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 Sep 7, 2023; 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.