Individual provider Active NPI

Harriet Ina Surdi, PT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1598804247
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0004060 Issued in DE
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

Updated by the provider on Nov 19, 2021

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 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

Enrollment IDStateProvider typePAC IDDetails
I20200331001804 DE Practitioner - Physical Therapist in Private Practice 9032197918 Reassigns benefits to 2 organizations

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
Innovative Physical Therapy and Fitness of Delaware LLCGroup PAC ID 8325417306, 6 clinicians
Dynamic Therapy Services LLCGroup PAC ID 0749283083, 99 clinicians

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 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006003NYMDMental Health Counselor
J1-0004060DEMDPhysical Therapist
40QA00613700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Therapy Services LLC Physical Therapist CurrentSince Apr 1, 2020 Accepting new patients
Innovative Physical Therapy & Fitness of Delaware LLC CurrentSince Jun 14, 2025 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist CurrentSince Apr 1, 2020 Accepting new patients
Innovative Physical Therapy & Fitness of Delaware LLC CurrentSince Jun 14, 2025 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.

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.

Verify at the official NPI Registry.