Individual provider Active NPI

Timothy W McHugh, PT

  • Physical Therapist
  • Newark, DE
National Provider Identifier
1578895140
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J10002557 Issued in DE
Practice address
1101 Twin C LN
Ste 203
Newark, DE 19713-2157
Phone
(302) 633-1280
Fax
(302) 633-1284
NPI assigned
Feb 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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 J10002557 DE Primary

Addresses

Primary practice location

1101 Twin C LN
Ste 203
Newark, DE 19713-2157

Mailing address

1101 Twin C LN
Ste 203
Newark, DE 19713-2157
Phone (302) 633-1280

Other identifiers 2

IdentifierTypeStateIssuer
P00861970OtherDEMEDICARE RAILROAD
1578895140MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000320 DE Practitioner - Physical Therapist in Private Practice 5294863981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1101 Twin C LN
Suite 203
Newark, DE 19713-2159
Phone (302) 633-1280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J10002557DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Orthopedic Specialists Physical Therapist CurrentSince Feb 4, 2014 Accepting new patients
Spine and Orthopedic Specialists Physical Therapist CurrentSince Feb 4, 2014 Accepting new patients

Locations

119 W 3rd St
Ste 1
Lewes, DE 19958
Phone (302) 291-2587

1101 Twin C Ln
Ste 203
Newark, DE 19713
Phone (302) 633-1280

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1578895140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 TWIN C LN",
            "address_2": "STE 203",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132157",
            "telephone_number": "302-633-1280",
            "fax_number": "302-633-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TWIN C LN",
            "address_2": "STE 203",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132157",
            "telephone_number": "302-633-1280",
            "fax_number": "302-633-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHUGH",
        "first_name": "TIMOTHY",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-08",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10002557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00861970",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578895140",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.