Individual provider Active NPI

Kotone Pax, DPT

  • Physical Therapist
  • Newark, DE
National Provider Identifier
1477368157
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
180 Pencader PLZ Unit 180
Newark, DE 19713-3408
Phone
(302) 565-2626
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 Primary

Addresses

Primary practice location

180 Pencader PLZ Unit 180
Newark, DE 19713-3408

Mailing address

180 Pencader PLZ Unit 180
Newark, DE 19713-3408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250310002014 DE Practitioner - Physical Therapist in Private Practice 4082135876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Discovery Blvd
Suite 728
Newark, DE 19713-1325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ud Health LLC Physical Therapist CurrentSince Mar 21, 2025 Accepting new patients
Ud Health LLC CurrentSince Mar 21, 2025 Accepting new patients
Ivyrehab Delaware LLC Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients

Locations

540 S College Ave
Ste 160
Newark, DE 19713
Phone (302) 831-3000

625 S College Ave
Ste 135
Newark, DE 19716

180 Pencader Plz
Unit 180
Newark, DE 19713
Phone (302) 565-2626

907 S Chapel St
Unit 180
Newark, DE 19713
Phone (302) 408-7310

180 Pencader Plz
Newark, DE 19713
Phone (302) 565-2626

Interoperability endpoints

  • Direct secure messaging: kotone.pax.p1@direct.udel.nextgenshare.com

Organizations & group practices 3

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": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1477368157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PENCADER PLZ UNIT 180",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PENCADER PLZ UNIT 180",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133408",
            "telephone_number": "302-565-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAX",
        "first_name": "KOTONE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.