Individual provider Active NPI

William Delgado Te Jr., PT

  • Physical Therapist
  • Lake Hopatcong, NJ
National Provider Identifier
1568528636
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 40QA01033500 Issued in NJ
Practice address
15 Hill Hollow Rd
Lake Hopatcong, NJ 07849-2422
Phone
(973) 663-6731
NPI assigned
Dec 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 40QA01033500 NJ Primary

Addresses

Primary practice location

15 Hill Hollow Rd
Lake Hopatcong, NJ 07849-2422

Mailing address

15 Hill Hollow Rd
Lake Hopatcong, NJ 07849-2422
Phone (973) 663-6731

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 40QA01033500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients
Sportscare of America, PC Physical Therapist PastSince Feb 2, 2011 Accepting new patients

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": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568528636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HILL HOLLOW RD",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078492422",
            "telephone_number": "973-663-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HILL HOLLOW RD",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078492422",
            "telephone_number": "973-663-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TE",
        "first_name": "WILLIAM",
        "middle_name": "DELGADO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT 40QA01033500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Hopatcong, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.