Patricia Petrecca, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0002762 Issued in DE

Practice address

400 S Central Avenue
Laurel, DE 19956-1571

Phone

(302) 280-6953

Fax

(302) 280-5001

NPI assigned

Oct 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Patricia Clift Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dynamic Therapy Services of Pennsylvania LLC

  • Physical Therapist
  • Aston, PA
  • NPI 1346477981
  NPD (past)
• Home Care Health Specialists LLC

  • Physical Therapist
  • Paoli, PA
  • NPI 1932532207
  NPD (past)

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1619220274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 10TH STREET",
            "city": "MARCUS HOOK",
            "state": "PA",
            "postal_code": "190614513",
            "telephone_number": "610-859-8850",
            "fax_number": "610-859-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S CENTRAL AVENUE",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199561571",
            "telephone_number": "302-280-6953",
            "fax_number": "302-280-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRECCA",
        "first_name": "PATRICIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002762",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "14494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "CLIFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pathways to Renewal, LLC
• Antonio Pedro, M.D.
• Forrest William Pender, SLP
• Peninsula Home Care at Nanticoke LLC
• Peninsula Regional Medical Center
• Phoenix Rehabilitation and Health Services of Delaware Inc
• Deborah Pontorno, SPEECH PATHOLOGIST
• Kaitlyn Brooke Prettyman
• P. Vance Prewitt, M.D.
• Psychological Associates of Southern Delaware

• All providers in Laurel, DE
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.