NPIMap

Organization Active NPI

Medical Massage of Delaware

  • Health Service Clinic/Center
  • Wilmington, DE
National Provider Identifier
1679937122
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
MT-0004006 Issued in DE
Legal business name
MEDICAL MASSAGE OF DELAWARE
Practice address
234 Philadelphia Pike
Wilmington, DE 19809-3126
Phone
(888) 757-1951
Fax
(877) 757-1951
NPI assigned
Apr 11, 2016
Last updated
Apr 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Kim Holtz
Title
Case Manager
Phone
(888) 757-1951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X MT-0004006 DE Primary

Addresses

Primary practice location

234 Philadelphia Pike
Wilmington, DE 19809-3126

Mailing address

PO Box 272195
Fort Collins, CO 80527-2195
Phone (888) 757-1951

National Provider Directory

National Provider Directory
Tax ID family
Medical Massage of Delaware4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

234 Philadelphia Pike
Wilmington, DE 19809
Phone (302) 635-0424

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1679937122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272195",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805272195",
            "telephone_number": "888-757-1951",
            "fax_number": "877-757-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 PHILADELPHIA PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198093126",
            "telephone_number": "888-757-1951",
            "fax_number": "877-757-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MASSAGE OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "HOLTZ",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "888-757-1951"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "DE",
            "license": "MT-0004006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.