Jennifer Aline Carbone, LMT – Physical Therapist

Key facts

NPI: 1457580391
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: MT-0002667 (DE)
Practice address: 720 Yorklyn Rd
Suite 150
Hockessin, DE 19707-8728
Phone: (302) 234-2288
Fax: (302) 234-2869
NPI assigned: Jul 14, 2009
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Performance Physical Therapy, Inc Physical Therapy Clinic/Center · Hockessin, DE · NPI 1659581130

NPD (past) PHYSICAL THERAPIST

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
MT-0002667	DE	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Performance Physical Therapy, Inc	Physical Therapist	Past since Jun 1, 2007	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	MT-0002667	DE	Yes

Addresses

Primary practice location

720 Yorklyn Rd
Suite 150
Hockessin, DE 19707-8728

Mailing address

720 Yorklyn Rd
Suite 150
Hockessin, DE 19707-8728
Phone (302) 234-2288

Other providers in Hockessin, DE

All providers in Hockessin, DE · Physical Therapist in Delaware

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.