Individual provider Active NPI

Jean Tani Momorella, MSPT

  • Physical Therapist
  • Milford, DE
National Provider Identifier
1396855110
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014558 Issued in DE
Practice address
21 W Clarke Ave Ste 1500
Milford, DE 19963-1857
Phone
(302) 491-6529
Fax
(302) 503-7160
NPI assigned
Aug 30, 2006
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 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 J1-0014558 DE Primary

Addresses

Primary practice location

21 W Clarke Ave Ste 1500
Milford, DE 19963-1857

Mailing address

659 S Salisbury Blvd Ste 1B
Salisbury, MD 21801-5458
Phone (410) 831-3226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DE, TN, NJ4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040212000094 VA Practitioner - Physical Therapist in Private Practice 2163316886 Reassigns benefits to 2 organizations
I20220720002561 DE Practitioner - Physical Therapist in Private Practice 2163316886 Reassigns benefits to 1 organization
I20250415001842 TN Practitioner - Physical Therapist in Private Practice 2163316886 Reassigns benefits to 1 organization
I20260504006211 NJ Practitioner - Physical Therapist in Private Practice 2163316886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Imago Rehab, IncGroup PAC ID 1850785056, 16 clinicians

Practice addresses (Care Compare)

21 W Clarke Ave
1500 Aquacare Physical Therapy
Milford, DE 19963-1840
Phone (302) 393-5535

2615 Medical Ctr Pkwy
Suite 1560
Murfreesboro, TN 37129-3758
Phone (888) 855-2674

41063 W Morgan Ave
Pennington Gap, VA 24277-1831
Phone (617) 671-0789

525 Route 73 N
Suite 117
Marlton, NJ 08053-3422
Phone (888) 855-2674

Merit-based Incentive Payment System (MIPS)

Final score
75.34 of 100Reported as group
Quality
71.58
Improvement activities
40
Cost
69.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16236TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imago Rehab, Inc Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Physical Therapy at Acac Physical Therapist CurrentSince Aug 26, 2013 Accepting new patients
Physical Therapy at Acac CurrentSince Aug 26, 2013 Accepting new patients
Konlian,O'Neill & Associates, P.a. Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Konlian,O'Neill & Associates, P.a. Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Rockfish Chiropractic PLLC PastSince May 12, 2024 Accepting new patients
Senior Journeys LLC Physical Therapist PastSince Dec 1, 2001 Accepting new patients

Locations

20684 John J Williams Hwy
Lewes, DE 19958
Phone (302) 827-6040

34434 King Street Row
Ste 1
Lewes, DE 19958
Phone (302) 200-9920

21 W Clarke Ave
Ste 1500
Milford, DE 19963
Phone (302) 491-6529

110 Canal St
Ste 3
Lowell, MA 01852
Phone (617) 671-0789

500 Unicorn Park Dr
Ste 300
Woburn, MA 01801
Phone (617) 958-1758

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

5 Greentree Ctr
Ste 117
Marlton, NJ 08053
Phone (609) 474-0106

2615 Medical Center Pkwy
Ste 1560
Murfreesboro, TN 37129
Phone (615) 525-6181

504 Albemarle Sq
Charlottesvle, VA 22901
Phone (434) 817-7848

1015 Heathercroft Cir
Ste 200
Crozet, VA 22932
Phone (434) 817-4283

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

Organizations & group practices 7

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1396855110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 S SALISBURY BLVD STE 1B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015458",
            "telephone_number": "410-831-3226",
            "fax_number": "410-572-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W CLARKE AVE STE 1500",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631857",
            "telephone_number": "302-491-6529",
            "fax_number": "302-503-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMORELLA",
        "first_name": "JEAN",
        "middle_name": "TANI",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.