Individual provider Active NPI

Deja Crippen

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1437753142
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP018389T Issued in DE
Practice address
1208 Kirkwood Hwy Ste 1
Wilmington, DE 19805-2120
Phone
(302) 993-1450
Fax
(302) 993-1454
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X LPT-32458 AZ
Physical Therapist 225100000X CP018389T DE Primary

Addresses

Primary practice location

1208 Kirkwood Hwy Ste 1
Wilmington, DE 19805-2120

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

8327 N Oracle Rd
Tucson, AZ 85704-7313
Phone (520) 505-2550

Other practice location 2

20930 DuPont Blvd Unit 102
Georgetown, DE 19947-1723
Phone (302) 856-7462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.4

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP018389TDEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steady Steps Physical Therapy Current Accepting new patients
Bodycentral Physical Therapy PC CurrentSince Jun 29, 2022 Accepting new patients
Bodycentral Physical Therapy P C CurrentSince Jun 29, 2022 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Aug 19, 2024 Accepting new patients

Locations

1231 W Warner Rd
Ste 101
Tempe, AZ 85284
Phone (623) 250-3223

8327 N Oracle Rd
Tucson, AZ 85704
Phone (520) 355-6909

3124 N Swan Rd
Tucson, AZ 85712
Phone (520) 276-1274

1991 E Ajo Way
Ste 149
Tucson, AZ 85713
Phone (520) 485-5454

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1437753142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 KIRKWOOD HWY STE 1",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052120",
            "telephone_number": "302-993-1450",
            "fax_number": "302-993-1454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8327 N Oracle Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857047313",
            "country_code": "US",
            "telephone_number": "520-505-2550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20930 DuPont Blvd Unit 102",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199471723",
            "country_code": "US",
            "telephone_number": "302-856-7462",
            "fax_number": "302-856-7463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIPPEN",
        "first_name": "DEJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-32458",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "CP018389T",
            "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 Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.