Active NPI
University of Delaware
Doing business as University of De PT Clinic
- Rehabilitation Clinic/Center
- Newark, DE
National Provider Identifier
1679614390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- J1-0000851
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000035397 | Medicaid | DE |
Other names 1
- University of De PT Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Department of Navy National Naval Medical Center
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
- Union Hospital of Cecil County, Inc. (Union Radiology of Delaware)
- Union Hospital of Cecil County, Inc. (Union Cardiology of Delaware)
- United Durable Equipment Inc
- Unity Home Care LLC
- University of Delaware
- University of Delaware
- University of Delaware
- University of Delaware
- University of Delaware Student Health Service
- University of Penn - Medical Group
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.