Individual provider Active NPI

Jamie Lynn Musselman, D.P.T

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1558794180
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014842 Issued in DE
Practice address
4001 Miller Rd
Wilmington, DE 19802-1961
Phone
(302) 764-2008
NPI assigned
Aug 19, 2013
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X PT022976 PA
Physical Therapist 225100000X J1-0014842 DE Primary

Addresses

Primary practice location

4001 Miller Rd
Wilmington, DE 19802-1961

Mailing address

PO Box 392573
Pittsburgh, PA 15251-9573
Phone (724) 343-4060

Other practice location 1

200 E State St Ste 108
Media, PA 19063-3434
Phone (484) 444-0820

Other practice location 2

210 Louviers Dr
Newark, DE 19711-4167
Phone (302) 533-5313

Other practice location 3

839 Lincoln Ave Ste 3
West Chester, PA 19380-4562
Phone (484) 887-0542

Other practice location 4

230 Beiser Blvd Ste 103
Dover, DE 19904-7791
Phone (302) 672-0293

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617000250 DE Practitioner - Physical Therapist in Private Practice 3476770744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

210 Louviers Dr
Newark, DE 19711-4167
Phone (302) 533-5313

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Rehabilitation and Health Services of Delaware Inc Physical Therapist CurrentSince May 30, 2024 Accepting new patients
Phoenix Rehabilitation and Health Services of Delaware Inc Physical Therapist CurrentSince May 30, 2024 Accepting new patients

Locations

230 Beiser Blvd
Ste 103
Dover, DE 19904
Phone (302) 672-0293

210 Louviers Dr
Newark, DE 19711
Phone (302) 533-5313

4001 Miller Rd
Wilmington, DE 19802
Phone (302) 764-2008

4001 Miller Rd
Ste 2
Wilmington, DE 19802
Phone (302) 764-2008

8215 W 108th Ter
Overland Park, KS 66210

2000 Westinghouse Dr
Ste 200
Cranberry Twp, PA 16066
Phone (724) 584-5739

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": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1558794180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573",
            "telephone_number": "724-343-4060"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E State St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190633434",
            "country_code": "US",
            "telephone_number": "484-444-0820",
            "fax_number": "610-566-1572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Louviers Dr",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197114167",
            "country_code": "US",
            "telephone_number": "302-533-5313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "839 Lincoln Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193804562",
            "country_code": "US",
            "telephone_number": "484-887-0542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Beiser Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199047791",
            "country_code": "US",
            "telephone_number": "302-672-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSSELMAN",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022976",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 8, 2024; 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.