Active NPI
Harriet Ina Surdi, PT
- Physical Therapist
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0004060
- Practice address
- 3911 N Washington St
Wilmington, DE 19802-2147 - Phone
- (919) 258-2714
- Fax
- (410) 648-4878
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00613700 | NJ | |
| Physical Therapist | 225100000X | 006003 | NY | |
| Physical Therapist | 225100000X | J1-0004060 | DE | Primary |
Addresses
Primary practice location
3911 N Washington St
Wilmington, DE 19802-2147
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714
Other practice location 1
133 Pomona Rd
Pomona, NY 10970-3526
Phone (845) 362-0229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 Pennsylvania Ave
Wilmington, DE 19806-1392
Phone (302) 291-1255
3911 Washington St
Wilmington, DE 19802-2147
Phone (302) 764-8192
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.27 of 100
- Quality
- 85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006003 | NY | MD | Mental Health Counselor |
| J1-0004060 | DE | MD | Physical Therapist |
| 40QA00613700 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Innovative Physical Therapy & Fitness of Delaware LLC | Current | Accepting new patients | |
| Dynamic Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
| Innovative Physical Therapy & Fitness of Delaware LLC | Current | Accepting new patients | |
| Advanced Performance Chiropractic & Rehab Center LLC | Past | Accepting new patients | |
| Surdi Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Locations
1009 Mattlind Way
Ste 200
Milford, DE 19963
14 Mill Park Ct
Newark, DE 19713
Phone (302) 291-1255
2300 Pennsylvania Ave
Ste 1A
Wilmington, DE 19806
Phone (302) 655-0355
3911 N Washington St
Wilmington, DE 19802
Phone (302) 764-8192
9526 Philadelphia Rd
Rosedale, MD 21237
Phone 4435128337215
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
Organizations & group practices 6
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.
-
- Physical Therapist
- Seaford, DE
- NPI 1205875093
-
- Rehabilitation Practitioner
- Milford, DE
- NPI 1275240012
-
- Orthopedic Physical Therapist
- Pomona, NY
- NPI 1699886705
-
- Occupational Therapist
- Rehoboth Beach, DE
- NPI 1225637051
Physical Therapist
-
- Rehabilitation Practitioner
- Newark, DE
- NPI 1083407993
-
- Rehabilitation Chiropractor
- Ramsey, NJ
- NPI 1619013042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1598804247",
"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": "919-258-2714",
"fax_number": "410-648-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 N WASHINGTON ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198022147",
"telephone_number": "919-258-2714",
"fax_number": "410-648-4878"
}
],
"practiceLocations": [
{
"address_1": "133 Pomona Rd",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "NY",
"postal_code": "109703526",
"country_code": "US",
"telephone_number": "845-362-0229",
"fax_number": "845-362-0229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SURDI",
"first_name": "HARRIET",
"middle_name": "INA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00613700",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "006003",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0004060",
"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 Nov 19, 2021; 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.