Individual provider Active NPI

Robert Tolson

  • Physical Therapy Assistant
  • Wilmington, DE
National Provider Identifier
1417483181
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
J2-0000845 Issued in DE
Practice address
4512 Kirkwood Hwy # 303
Wilmington, DE 19808-5123
Phone
(302) 504-6195
NPI assigned
May 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X J2-0000845 DE Primary

Addresses

Primary practice location

4512 Kirkwood Hwy # 303
Wilmington, DE 19808-5123

Mailing address

4512 Kirkwood Hwy # 303
Wilmington, DE 19808-5123

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

LicenseStateTypeSpecialty
J2-0000845DEMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1417483181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 KIRKWOOD HWY # 303",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 KIRKWOOD HWY # 303",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085123",
            "telephone_number": "302-504-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLSON",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DE",
            "license": "J2-0000845",
            "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 May 2, 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.

Verify at the official NPI Registry.