NPIMap

Organization Active NPI

Phoenix Rehabilitation and Health Services of Delaware Inc

  • Physical Therapy Clinic/Center
  • Wilmington, DE
National Provider Identifier
1508590407
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHOENIX REHABILITATION AND HEALTH SERVICES OF DELAWARE INC
Practice address
4001 Miller Rd
Wilmington, DE 19802-1961
Phone
(302) 764-2008
Fax
(302) 764-2019
NPI assigned
Jul 15, 2022
Organization subpart
Yes
Parent organization
PHOENIX REHABILITATION AND HEALTH SERVICES OF DELAWARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Brenda Metal-Confer
Title
Sr. Credentialing Specialist
Phone
(724) 584-5739

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4001 Miller Rd
Wilmington, DE 19802-1961

Mailing address

2000 Westinghouse Dr Ste 200
Cranberry Township, PA 16066-5238
Phone (888) 644-7747

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Rehab HLTH SVCS12 organizations share this tax ID, including this one
Part of
Phoenix Rehab HLTH SVCS

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1508590407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WESTINGHOUSE DR STE 200",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665238",
            "telephone_number": "888-644-7747",
            "fax_number": "724-343-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 MILLER RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198021961",
            "telephone_number": "302-764-2008",
            "fax_number": "302-764-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX REHABILITATION AND HEALTH SERVICES OF DELAWARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX REHABILITATION AND HEALTH SERVICES OF DELAWARE INC",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "METAL-CONFER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "SR. CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "724-584-5739"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 29, 2022; 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.