Active NPI
Gokulawathani Maheswaran
- Physical Therapist
- Wilmington, DE
National Provider Identifier
1497278899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0003665
- Practice address
- Regency Healthcare and Rehabilitation Center
801, North Broom Street
Wilmington, DE 19806 - Phone
- (302) 652-8400
- Fax
- (302) 652-8811
- NPI assigned
- Jul 18, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT027233 | PA | |
| Physical Therapist | 225100000X | J1-0003665 | DE | Primary |
Addresses
Primary practice location
Regency Healthcare and Rehabilitation Center
801, North Broom Street
Wilmington, DE 19806
Mailing address
11205 Elam Dr
Glen Mills, PA 19342-2356
Other practice location 1
704 River Rd
Wilmington, DE 19809
Phone (302) 998-0181
Other practice location 2
704 River Rd
Wilmington, DE 19809
Phone (302) 998-0181
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
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0003665 | DE | MD | Physical Therapist |
| PT027233 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1497278899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11205 ELAM DR",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193422356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "REGENCY HEALTHCARE AND REHABILITATION CENTER",
"address_2": "801, NORTH BROOM STREET",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19806",
"telephone_number": "302-652-8400",
"fax_number": "302-652-8811"
}
],
"practiceLocations": [
{
"address_1": "704 River Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "19809",
"country_code": "US",
"telephone_number": "302-998-0181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "704 River Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "19809",
"country_code": "US",
"telephone_number": "302-998-0181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHESWARAN",
"first_name": "GOKULAWATHANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT027233",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003665",
"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 Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.