Active NPI
Jeanne Marie Kanse
- Physical Rehabilitation Occupational Therapist
- Wilmington, DE
National Provider Identifier
1396255006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- U1-0000977
- Practice address
- 5651 Limestone Rd
Wilmington, DE 19808-1217 - Phone
- (302) 239-8583
- NPI assigned
- Oct 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | U1-0000977 | DE | Primary |
Addresses
Primary practice location
5651 Limestone Rd
Wilmington, DE 19808-1217
Mailing address
2803 Fawkes Dr
Wilmington, DE 19808-2153
Phone (302) 999-0868
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U1-0000977 | DE | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507420800000",
"number": "1396255006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2803 FAWKES DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198082153",
"telephone_number": "302-999-0868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5651 LIMESTONE RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198081217",
"telephone_number": "302-239-8583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANSE",
"first_name": "JEANNE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-08",
"last_updated": "2017-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "DE",
"license": "U1-0000977",
"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 Oct 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.