NPIMap

Organization Active NPI

Delmarva Hand & Physical Therapy, P.a.

  • Physical Therapist
  • Berlin, MD
National Provider Identifier
1649731027
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DELMARVA HAND & PHYSICAL THERAPY, P.A.
Practice address
11007 Manklin Creek Rd Unit C-5
Berlin, MD 21811-4012
Phone
(443) 783-5697
NPI assigned
Mar 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Authorized official

Name
Mrs. Jennifer Scott Hamilton, DPT, CHTNPI 1073669057
Title
President, Ceo, Physical Therapist
Phone
(443) 783-5697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

11007 Manklin Creek Rd Unit C-5
Berlin, MD 21811-4012

Mailing address

6901 Hamilton LN
Delmar, DE 19940-3183
Phone (443) 783-5697

Other names 1

  • Shore Splinting, P.A. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190711003195 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284969312 Receives reassigned benefits from 3 practitioners
Practice locations: Salisbury, MD; Berlin, MD
O20190905003087 MD DME Supplier - Independently-Practicing Physical Therapist 4284969312 Practice locations: Berlin, MD

National Provider Directory

National Provider Directory

Locations

11007 Manklin Creek Rd
Unit 5
Berlin, MD 21811
Phone (410) 208-3300

11007 Manklin Creek Rd
Unit C5
Berlin, MD 21811
Phone (443) 783-5697

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1649731027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 HAMILTON LN",
            "city": "DELMAR",
            "state": "DE",
            "postal_code": "199403183",
            "telephone_number": "443-783-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11007 MANKLIN CREEK RD UNIT C-5",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218114012",
            "telephone_number": "443-783-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMARVA HAND & PHYSICAL THERAPY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT, CEO, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "443-783-5697",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT, CHT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Splinting, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.