Wilbur Venus Belen, PT
Individual provider Active NPI Physical Therapist · Dover, DE
NPI 1679935134 · NPPES record last updated Jan 4, 2023
Key facts
- NPI
- 1679935134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- J1-0003250 (DE)
- Practice address
- 1078 S State St Ste 1
Dover, DE 19901-6925 - Phone
- (302) 678-2397
- Fax
- (302) 678-2399
- NPI assigned
- Mar 24, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.27 of 100
- Quality
- 85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160511000028 | DE | Practitioner - Physical Therapist in Private Practice | 2860781143 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0003250 | DE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Therapy Services LLC | Physical Therapist | Current |
Accepting new patients |
| Dynamic Therapy Services, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1015 S Governors Ave
Dover, DE 19904
Phone (302) 730-4800
1078 S State St
Ste 1
Dover, DE 19901
Phone (302) 401-7778
120 Sandhill Dr
Ste 3
Middletown, DE 19709
Phone (302) 449-7792
1310 Middleford Rd
Ste 101
Seaford, DE 19973
Phone (302) 629-5700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0003250 | DE | Yes |
Addresses
Primary practice location
1078 S State St Ste 1
Dover, DE 19901-6925
Mailing address
1078 S State St Ste 1
Dover, DE 19901-6925
Phone (302) 678-2397
Other practice location 1
1015 S Governors Ave
Dover, DE 19904-6901
Phone (302) 730-4800
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.