Individual provider Active NPI

L Daphne Skoutelas, P.T.

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1285783084
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0001712 Issued in DE
Practice address
2401 Pennsylvania Ave Ste 112
Wilmington, DE 19806-1432
Phone
(302) 655-8989
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0001712 DE Primary

Addresses

Primary practice location

2401 Pennsylvania Ave Ste 112
Wilmington, DE 19806-1432

Mailing address

2401 Pennsylvania Ave Ste 112
Wilmington, DE 19806-1432
Phone (302) 655-8989

Other practice location 1

3569 Silverside Rd
Wilmington, DE 19810-4945
Phone (302) 478-5240

Other names 1

  • Lina Daphne Skoutelas Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171010000046 DE Practitioner - Physical Therapist in Private Practice 7517232085 Reassigns benefits to 2 organizations
I20260622001016 PA Practitioner - Physical Therapist in Private Practice 7517232085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

2401 Pennsylvania Ave
Wilmington, DE 19806-1401
Phone (302) 655-5877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc CurrentSince Sep 1, 2021 Accepting new patients
Physiotherapy Associates Inc CurrentSince Jan 1, 2017 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Physiotherapy Associates, Inc. Current Accepting new patients
Physiotherapy Associates, Inc. CurrentSince Jan 1, 2017 Accepting new patients

Locations

256 Foxhunt Dr
Bear, DE 19701
Phone (302) 834-8650

256 Foxhunt Dr
#50595
Bear, DE 19701
Phone (302) 834-8650

6286 Limestone Rd
Unit A2
Hockessin, DE 19707
Phone (302) 307-4003

2401 Pennsylvania Ave
Ste 112
Wilmington, DE 19806
Phone (302) 655-5877

2401 Pennsylvania Ave
Ste 111
Wilmington, DE 19806
Phone (302) 655-5877

604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1285783084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE STE 112",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061432",
            "telephone_number": "302-655-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE STE 112",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061432",
            "telephone_number": "302-655-8989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3569 Silverside Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198104945",
            "country_code": "US",
            "telephone_number": "302-478-5240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOUTELAS",
        "first_name": "L",
        "middle_name": "DAPHNE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0001712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINA",
            "last_name": "SKOUTELAS",
            "middle_name": "DAPHNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.