Individual provider Active NPI

Jason R Eliowitz, PT, DPT, C.S.C.S.

  • Physical Therapist
  • Lewes, DE
National Provider Identifier
1275831778
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0003839 Issued in DE
Practice address
20268 Plantations Rd Ste B
Lewes, DE 19958-4622
Phone
(302) 449-6475
NPI assigned
Mar 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 033145 NY
Physical Therapist 225100000X 40QA01436200 NJ
Physical Therapist 225100000X J1-0003839 DE Primary

Addresses

Primary practice location

20268 Plantations Rd Ste B
Lewes, DE 19958-4622

Mailing address

1050 Industrial Rd Ste 210
Middletown, DE 19709-2801
Phone (302) 449-6475

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

LicenseStateTypeSpecialty
40QA01436200NJMDPhysical Therapist
033145NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1275831778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 INDUSTRIAL RD STE 210",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197092801",
            "telephone_number": "302-449-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20268 PLANTATIONS RD STE B",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584622",
            "telephone_number": "302-449-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIOWITZ",
        "first_name": "JASON",
        "middle_name": "R",
        "credential": "PT, DPT, C.S.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-08",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033145",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01436200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0003839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.