Individual provider Active NPI

Brian Larue, DPT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1598815128
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J10002000 Issued in DE
Practice address
100 Valley Center Rd
Wilmington, DE 19808-2950
Phone
(302) 994-1200
Fax
(302) 994-1233
NPI assigned
Jan 12, 2007
Last updated
Mar 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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 J10002000 DE Primary

Addresses

Primary practice location

100 Valley Center Rd
Wilmington, DE 19808-2950

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other identifiers 6

IdentifierTypeStateIssuer
88760507OtherCAREFIRST
J10002000OtherDEDE LICENSE
10000040229OtherPAAMERIHEALTH/IBC
105165OtherPAPA BCBS
5070-0053OtherCAREFIRST
1000038248MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051220000124 DE Practitioner - Physical Therapist in Private Practice 1355363326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

1000 Smyrna Clayton Blvd
Suite 4
Smyrna, DE 19977-2228
Phone (302) 659-3102

1600 Washington St
Ati Physical Therapy
Wilmington, DE 19802-4722
Phone (302) 656-2521

2032 New Castle Ave
Ati Physical Therapy
New Castle, DE 19720-7703
Phone (302) 654-1700

213 Greenhill Ave
Suite C
Wilmington, DE 19805-1800
Phone (302) 658-7800

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J10002000DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Aug 1, 2007 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Aug 1, 2007 Accepting new patients
Ati Holdings, LLC Past Accepting new patients
Ati Holdings, LLC Physical Therapist Past Accepting new patients

Locations

1015 E Songsmith Dr
Bear, DE 19701
Phone (302) 836-5670

100 Becks Woods Dr
Bear, DE 19701
Phone (302) 392-3400

260 Beiser Blvd
Ste 102
Dover, DE 19904
Phone (302) 741-0200

283 N DuPont Hwy
Ste E
Dover, DE 19901
Phone (302) 747-5229

285 Beiser Blvd
Ste 202
Dover, DE 19904
Phone (302) 747-5995

1288 S Governors Ave
Dover, DE 19904
Phone (302) 677-0100

16819 S DuPont Hwy
Ste 500
Harrington, DE 19952
Phone (302) 786-3008

114 Sandhill Dr
Ste 103
Middletown, DE 19709
Phone (302) 285-0700

2032 New Castle Ave
New Castle, DE 19720
Phone (302) 654-1700

4102 Stanton Ogletown Rd
Ste B
Newark, DE 19713
Phone (302) 894-1800

2600 Glasgow Ave
Ste 105
Newark, DE 19702
Phone (302) 836-8287

1812 Marsh Rd
Ste 505
Wilmington, DE 19810
Phone (302) 475-7500

3620 Concord Pike
Spc L
Wilmington, DE 19803
Phone (302) 281-3072

1600 N Washington St
Wilmington, DE 19802
Phone (302) 428-5954

1 St Rocco Way
Wilmington, DE 19802
Phone (302) 353-5646

213 Greenhill Ave
Ste C
Wilmington, DE 19805
Phone (302) 658-7800

100 Valley Center Rd
Wilmington, DE 19808
Phone (302) 229-1986

914 Justison St
Wilmington, DE 19801
Phone (302) 351-0302

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

9934 Reisterstown Rd
Ste 18E
Owings Mills, MD 21117
Phone (240) 545-0507

8511 Liberty Rd
Ste Bb
Randallstown, MD 21133
Phone (443) 426-9100

826 E Baltimore Pike
Unit 9
Kennett Square, PA 19348
Phone (610) 335-1410

Organizations & group practices 4

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1598815128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VALLEY CENTER RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082950",
            "telephone_number": "302-994-1200",
            "fax_number": "302-994-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARUE",
        "first_name": "BRIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10002000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "88760507",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DE LICENSE",
            "identifier": "J10002000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/IBC",
            "identifier": "10000040229",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BCBS",
            "identifier": "105165",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "5070-0053",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000038248",
            "state": "DE"
        }
    ],
    "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 Mar 4, 2013; 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.