Peninsula-NRH Regional Rehabilitation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PENINSULA-NRH REGIONAL REHABILITATION

Practice address

30265 Commerce Dr
Suite 105
Millsboro, DE 19966-3593

Phone

(202) 877-1000

NPI assigned

May 9, 2014

Organization subpart

No

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

Authorized official

Name

Patricio Zuniga

Title

Avp

Phone

(240) 695-3519

Specialties & licenses 1

Addresses

Other names 1

• PENINSULA-NRH REHAB @ MILLSBORO Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• National Rehabilitation Hospital Inc

  • Rehabilitation Clinic/Center
  • Oxon Hill, MD
  • NPI 1578639761

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James William Bedwell, DPT, ATC

  • Physical Therapist
  • Seaford, DE
  • NPI 1699053306
  NPD (past)
• Connie Cooper

  • Student in an Organized Health Care Education/Training Program
  • Salisbury, MD
  • NPI 1285170068
  NPD (past)
• Collan Vaness

  • Student in an Organized Health Care Education/Training Program
  • Salisbury, MD
  • NPI 1336689884
  NPD (past)

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1689085847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30265 COMMERCE DR",
            "address_2": "SUITE 105",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30265 COMMERCE DR",
            "address_2": "SUITE 105",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663593",
            "telephone_number": "202-877-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA-NRH REGIONAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA",
        "authorized_official_first_name": "PATRICIO",
        "authorized_official_title_or_position": "AVP",
        "authorized_official_telephone_number": "240-695-3519"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENINSULA-NRH REHAB @ MILLSBORO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peninsula Healthcare Services LLC
• Peninsula Orthopaedic Assoc., PA
• Peninsula Plastic Surgery P C
• Peninsula Regional Medical Center
• Peninsula Regional Rehabilitation, LLC
• Brittany Nicole Perry, PTA
• Eva Marie Persaud, IBCLC
• Amanda Nicole Petito
• Phoenix Rehabilitation and Health Services of Delaware Inc
• David Lee Pinkerton, MPT

• All providers in Millsboro, DE
• Physical Therapy Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.