Individual provider Active NPI

Donna Jean Vivaldi, PTA

  • Physical Therapy Assistant
  • Wilmington, DE
National Provider Identifier
1588601694
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
J2-0000392 Issued in DE
Practice address
2801 Lancaster Ave
Wilmington, DE 19805-5232
Phone
(302) 778-0810
Fax
(302) 778-0812
NPI assigned
May 31, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X J2-0000392 DE Primary
Physical Therapy Assistant 225200000X TE006786L PA

Addresses

Primary practice location

2801 Lancaster Ave
Wilmington, DE 19805-5232

Mailing address

2607 Naamans Rd
Wilmington, DE 19810-1136
Phone (302) 475-0362

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
J2-0000392DEMDPhysical Therapy Assistant
TE006786LPAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1588601694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 NAAMANS RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198101136",
            "telephone_number": "302-475-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LANCASTER AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198055232",
            "telephone_number": "302-778-0810",
            "fax_number": "302-778-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVALDI",
        "first_name": "DONNA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DE",
            "license": "J2-0000392",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE006786L",
            "primary": false
        }
    ],
    "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 13, 2026; 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.