NPIMap

Organization Active NPI

Rehab by Dr Lifrak

  • Sports Medicine (Family Medicine) Physician
  • Wilmington, DE
National Provider Identifier
1306009394
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
C100002238 Issued in DE
Legal business name
REHAB BY DR LIFRAK
Practice address
1010 N Union St
Suite 5
Wilmington, DE 19805-2731
Phone
(302) 654-7317
NPI assigned
Jul 9, 2008
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. James Sheehan, DC
Title
Contractor
Phone
(302) 654-7317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X C100002238 DE Primary

Addresses

Primary practice location

1010 N Union St
Suite 5
Wilmington, DE 19805-2731

Mailing address

1010 N Union St
Suite 5
Wilmington, DE 19805-2731
Phone (302) 654-7317

National Provider Directory

National Provider Directory
Tax ID family
Irwin L Lifrak MD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1306009394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N UNION ST",
            "address_2": "SUITE 5",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052731",
            "telephone_number": "302-654-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N UNION ST",
            "address_2": "SUITE 5",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052731",
            "telephone_number": "302-654-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB BY DR LIFRAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CONTRACTOR",
        "authorized_official_telephone_number": "302-654-7317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "DE",
            "license": "C100002238",
            "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 Jul 9, 2008; 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.