Individual provider Active NPI

Wilbur Venus Belen, PT

  • Physical Therapist
  • Dover, DE
National Provider Identifier
1679935134
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0003250 Issued in 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
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0003250 DE Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160511000028 DE Practitioner - Physical Therapist in Private Practice 2860781143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Therapy Services LLC Physical Therapist CurrentSince Mar 16, 2016 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist CurrentSince Mar 16, 2016 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) 541-5700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1679935134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 S STATE ST STE 1",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199016925",
            "telephone_number": "302-678-2397",
            "fax_number": "302-678-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 S STATE ST STE 1",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199016925",
            "telephone_number": "302-678-2397",
            "fax_number": "302-678-2399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 S Governors Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199046901",
            "country_code": "US",
            "telephone_number": "302-730-4800",
            "fax_number": "302-730-8040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELEN",
        "first_name": "WILBUR",
        "middle_name": "VENUS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0003250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.