Individual provider Active NPI

Vincent M Nigro, DPT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1548937279
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014525 Issued in DE
Practice address
4709 Kirkwood Hwy
Wilmington, DE 19808-5007
Phone
(919) 373-2919
Fax
(410) 648-4878
NPI assigned
Aug 30, 2021
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT029700 PA
Physical Therapist 225100000X J1-0014525 DE Primary

Addresses

Primary practice location

4709 Kirkwood Hwy
Wilmington, DE 19808-5007

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 373-2919

Other practice location 1

836 Houston Run Dr Ste 101
Gap, PA 17527-9496
Phone (717) 442-8957

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220601001085 DE Practitioner - Physical Therapist in Private Practice 4082006168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Therapy Services LLCGroup PAC ID 0749283083, 99 clinicians

Practice addresses (Care Compare)

4709 Kirkwood Hwy
Wilmington, DE 19808-5007
Phone (302) 998-9880

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0014525DEMDPhysical Therapist
PT029700PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Therapy Services LLC Multi-Specialty CurrentSince Apr 13, 2022 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist CurrentSince Apr 13, 2022 Accepting new patients

Locations

4709 Kirkwood Hwy
Wilmington, DE 19808
Phone (302) 998-9880

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1548937279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-373-2919",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085007",
            "telephone_number": "919-373-2919",
            "fax_number": "410-648-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 Houston Run Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gap",
            "state": "PA",
            "postal_code": "175279496",
            "country_code": "US",
            "telephone_number": "717-442-8957",
            "fax_number": "717-442-1063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIGRO",
        "first_name": "VINCENT",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014525",
            "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 22, 2022; 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.