Brandywine Physical Therapy Services , Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

J10000187 Issued in DE

Legal business name

BRANDYWINE PHYSICAL THERAPY SERVICES , INC.

Practice address

1507 Philadelphia Pike Apt a
Wilmington, DE 19809-1865

Phone

(302) 798-9565

Fax

(302) 798-0792

NPI assigned

Nov 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Elliot Duhadaway, P.T.

Title

President

Phone

(302) 798-9565

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1598946493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 PHILADELPHIA PIKE APT A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091865",
            "telephone_number": "302-798-9565",
            "fax_number": "302-798-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 PHILADELPHIA PIKE APT A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091865",
            "telephone_number": "302-798-9565",
            "fax_number": "302-798-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE PHYSICAL THERAPY SERVICES , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "DUHADAWAY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-798-9565",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "DE",
            "license": "J10000187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandywine Podiatry, PA
• Brandywine Podiatry, PA
• Brandywine Rheumatology, LLC

• Physical Therapy Clinic/Center in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Physical Therapy Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.