Organization Active NPI

Orthopaedic & Sports Physiotherapy P.a.

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1275513954
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0001227 Issued in DE
Legal business name
ORTHOPAEDIC & SPORTS PHYSIOTHERAPY P.A.
Practice address
617 W Newport Pike
Wilmington, DE 19804-3235
Phone
(302) 683-0782
Fax
(302) 683-0783
NPI assigned
Jan 19, 2006
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Ms. Nalini Mohan Advani, MSPTNPI 1184604951
Title
Owner
Phone
(302) 683-0782

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)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0001227 DE Primary

Addresses

Primary practice location

617 W Newport Pike
Wilmington, DE 19804-3235

Mailing address

617 W Newport Pike
Wilmington, DE 19804-3235
Phone (302) 683-0782

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101207000789 DE Part B Supplier - Clinic/Group Practice 6103013891 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

617 W Newport Pike
Wilmington, DE 19804
Phone (302) 683-0782

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1275513954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W NEWPORT PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198043235",
            "telephone_number": "302-683-0782",
            "fax_number": "302-683-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W NEWPORT PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198043235",
            "telephone_number": "302-683-0782",
            "fax_number": "302-683-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC & SPORTS PHYSIOTHERAPY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "ADVANI",
        "authorized_official_first_name": "NALINI",
        "authorized_official_middle_name": "MOHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-683-0782",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0001227",
            "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 Dec 17, 2007; 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.

Verify at the official NPI Registry.