Southern Delaware Sportscare and Rehabilitation, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOUTHERN DELAWARE SPORTSCARE AND REHABILITATION, LLC

Practice address

207 Stadium St
Smyrna, DE 19977-2899

Phone

(302) 659-0173

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Harris Thompson

Title

Ceo

Phone

(410) 885-6371

Specialties & licenses 1

Addresses

Other names 1

• PIVOT PHYSICAL THERAPY Doing business as

Tax ID family

Pivot Physical Therapy8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

• Pivot Physical Therapy

  • Physical Therapy Clinic/Center
  • Wilmington, DE
  • NPI 1912381906
  NPD tax ID
• Southern Delaware Sportscare and Rehabilitation, LLC

  • Physical Therapist
  • Rehoboth Beach, DE
  • NPI 1043766041
  NPD tax ID
• Southern Delaware Sportscare and Rehabilitation, LLC

  • Physical Therapist
  • Wilmington, DE
  • NPI 1366998361
  NPD tax ID
• Southern Delaware Sportscare and Rehabilitation, LLC

  • Physical Therapist
  • Newark, DE
  • NPI 1649726647
  NPD tax ID
• Southern Delaware Sportscare and Rehabilitation, LLC

  • Physical Therapist
  • Millsboro, DE
  • NPI 1720534852
  NPD tax ID
• Southern Delaware Sportscare and Rehabilitation, LLC

  • Physical Therapist
  • Ocean View, DE
  • NPI 1750836888
  NPD tax ID
• Southern Delaware Sportscare and Rehabilitation, LLC

  • Physical Therapist
  • Middletown, DE
  • NPI 1851847859
  NPD tax ID

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1508312596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FAIRMOUNT AVE",
            "address_2": "STE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865457",
            "telephone_number": "410-927-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 STADIUM ST",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199772899",
            "telephone_number": "302-659-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DELAWARE SPORTSCARE AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-885-6371"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIVOT PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail Smith
• Vannessa R. Smith, MSW
• Jamie Smoot, DPT
• Smyrna Dental Center
• Isabella Gemima Jean Sosa-Reynolds
• Juliana Spotts, PT
• Anna Lauren Spracklin, DPT, PT
• St Albert Family Clinic and Services
• Connie R Startt
• State of Delaware

• Physical Therapist in Smyrna, DE
• Providers in Smyrna, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.