Organization Active NPI

University of Delaware

Doing business as University of De PT Clinic

  • Rehabilitation Clinic/Center
  • Newark, DE
National Provider Identifier
1679614390
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
J1-0000851 Issued in DE
Legal business name
UNIVERSITY OF DELAWARE
Doing business as
University of De PT Clinic
Practice address
540 S College Ave Ste 160
Newark, DE 19713-1302
Phone
(302) 831-8893
Fax
(302) 831-4468
NPI assigned
Feb 8, 2007
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Dr. Airelle Hunter, PT
Title
Director of Clinical Services
Phone
(302) 831-2705

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Rehabilitation Clinic/Center 261QR0400X J1-0000851 DE Primary

Addresses

Primary practice location

540 S College Ave Ste 160
Newark, DE 19713-1302

Mailing address

540 S College Ave Ste 160
Newark, DE 19713-1302
Phone (302) 831-8893

Other identifiers 1

IdentifierTypeStateIssuer
1000035397MedicaidDE

Other names 1

  • University of De PT Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Department of Navy National Naval Medical Center107 organizations share this tax ID, including this one

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1679614390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S COLLEGE AVE STE 160",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131302",
            "telephone_number": "302-831-8893",
            "fax_number": "302-831-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S COLLEGE AVE STE 160",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131302",
            "telephone_number": "302-831-8893",
            "fax_number": "302-831-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "AIRELLE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "302-831-2705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "DE",
            "license": "J1-0000851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000035397",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of De PT Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University of De PT Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.