Anna Eastburn, DPT
Individual provider Active NPI Physical Therapist · Middletown, DE
NPI 1306536784 · NPPES record last updated May 10, 2023
Key facts
- NPI
- 1306536784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- J1-0014692 (DE)
- Practice address
- 210 Cleaver Farms Rd Ste 1
Middletown, DE 19709-1670 - Phone
- (302) 449-2048
- NPI assigned
- May 10, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1050 Industrial Dr
Suite 210
Middletown, DE 19709-2801
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230601002030 | DE | Practitioner - Physical Therapist in Private Practice | 5193182442 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physical Therapy and Sports Performance Limited Partnership | Physical Therapist | Current |
Accepting new patients |
| Premier Physical Therapy and Sports Performance Limited Partnership | Current |
Accepting new patients |
Locations
210 Cleaver Farms Rd
Ste 1
Middletown, DE 19709
Phone (302) 449-2047
1050 Industrial Dr
Ste 210
Middletown, DE 19709
100 S Main St
Ste 300
Smyrna, DE 19977
Phone (302) 389-7855
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0014692 | DE | Yes |
Addresses
Primary practice location
210 Cleaver Farms Rd Ste 1
Middletown, DE 19709-1670
Mailing address
210 Cleaver Farms Rd Ste 1
Middletown, DE 19709-1670
Phone (302) 449-2048
Other providers in Middletown, DE
- Diane Jeanette Dudderar
- Terence F Duffy
- Stephen Duggan
- Dynamic Therapy Services, LLC
- Linda Ruth Ealy
- Edel Psychiatric Care LLC
- Eden Hill Expresscare, LLC
- Amanda Nicole Edge
- Edlyncare LLC
- Suzette Edmond-Trotmon
All providers in Middletown, DE · Physical Therapist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.