Individual provider Active NPI

Mary Harshman, PT, DPT

  • Physical Therapist
  • Georgetown, DE
National Provider Identifier
1306564018
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014607 Issued in DE
Practice address
2 Lee Ave
Georgetown, DE 19947-2149
Phone
(302) 500-6363
NPI assigned
Aug 18, 2022
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29086 MD
Physical Therapist 225100000X J1-0014607 DE Primary

Addresses

Primary practice location

2 Lee Ave
Georgetown, DE 19947-2149

Mailing address

2 Lee Ave
Georgetown, DE 19947-2149
Phone (302) 500-6363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221108002072 DE Practitioner - Physical Therapist in Private Practice 4880061670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

38552 Sussex Hwy
Unit 102
Delmar, DE 19940-3596
Phone (302) 466-3230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29086MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Consultants, Inc. CurrentSince Sep 29, 2022 Accepting new patients
Rehabilitation Consultants, Inc. CurrentSince Sep 29, 2022 Accepting new patients
Matrix Rehabilitation Delaware, Inc PastSince Aug 1, 2022 Accepting new patients

Locations

2 Lee Ave
Unit 103
Georgetown, DE 19947
Phone (302) 422-3100

Organizations & group practices 3

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": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1306564018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LEE AVE",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472149",
            "telephone_number": "302-500-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LEE AVE",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472149",
            "telephone_number": "302-500-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSHMAN",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29086",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.