Active NPI
Maryann Kearns, DPT
- Physical Therapist
- Smyrna, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0003329
- Practice address
- 100 S Main St Ste 300
Smyrna, DE 19977-1495 - Phone
- (302) 389-7855
- NPI assigned
- Feb 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0003329 | DE | Primary |
Addresses
Primary practice location
100 S Main St Ste 300
Smyrna, DE 19977-1495
Mailing address
1050 Industrial Dr Ste 210
Middletown, DE 19709-2803
Phone (302) 389-7855
Other practice location 1
114 Sandhill Dr Ste 103
Middletown, DE 19709
Phone (302) 285-0700
Other practice location 2
925 Bear Corbitt Rd
Bear, DE 19701-1323
Phone (302) 454-2400 ext. 43190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D000029502 | Medicaid | DE |
Other names 1
- Maryann Ingham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 S Main St
Suite 300
Smyrna, DE 19977-7727
Phone (302) 389-7855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physical Therapy and Sports Performance Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Premier Physical Therapy and Sports Performance Limited Partnership | Current | Accepting new patients | |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
Locations
114 Sandhill Dr
Ste 103
Middletown, DE 19709
Phone (302) 285-0700
1050 Industrial Dr
Ste 210
Middletown, DE 19709
100 S Main St
Ste 300
Smyrna, DE 19977
Phone (302) 389-7855
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
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.
-
- Physical Therapist
- Middletown, DE
- NPI 1417320151
-
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
DE, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Milford, DE
- NPI 1457943623
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1487012449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 INDUSTRIAL DR STE 210",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197092803",
"telephone_number": "302-389-7855",
"fax_number": "302-449-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S MAIN ST STE 300",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199771495",
"telephone_number": "302-389-7855"
}
],
"practiceLocations": [
{
"address_1": "114 Sandhill Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "DE",
"postal_code": "19709",
"country_code": "US",
"telephone_number": "302-285-0700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "925 Bear Corbitt Rd",
"address_purpose": "LOCATION",
"city": "Bear",
"state": "DE",
"postal_code": "197011323",
"country_code": "US",
"telephone_number": "302-454-2400 x43190",
"fax_number": "302-454-5440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEARNS",
"first_name": "MARYANN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-05",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D000029502",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARYANN",
"last_name": "INGHAM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Smyrna, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.