Active NPI
Michael T Schmelzer, PT
- Physical Medicine & Rehabilitation Physician
- Wilmington, DE
National Provider Identifier
1689916603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- J1-0002978
- Practice address
- 2060 Limestone Rd Ste 100
Wilmington, DE 19808-5500 - Phone
- (302) 999-9202
- Fax
- (302) 999-9203
- NPI assigned
- Mar 18, 2013
- Last updated
- Mar 12, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | J1-0002978 | DE | Primary |
| Physical Therapist | 225100000X | J1-0002978 | DE | |
| Physical Therapist | 225100000X | PT023376 | PA |
Addresses
Primary practice location
2060 Limestone Rd Ste 100
Wilmington, DE 19808-5500
Mailing address
2060 Limestone Rd Ste 201
Wilmington, DE 19808-5500
Phone (302) 999-9202
Other practice location 1
105 Vineyard Way
Suite 100
West Grove, PA 19390-8849
Phone (610) 869-5792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01461871 | Other | PA | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0002978 | DE | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1689916603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 LIMESTONE RD STE 201",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085500",
"telephone_number": "302-999-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 LIMESTONE RD STE 100",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085500",
"telephone_number": "302-999-9202",
"fax_number": "302-999-9203"
}
],
"practiceLocations": [
{
"address_1": "105 Vineyard Way",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "West Grove",
"state": "PA",
"postal_code": "193908849",
"country_code": "US",
"telephone_number": "610-869-5792",
"fax_number": "610-869-5795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHMELZER",
"first_name": "MICHAEL",
"middle_name": "T",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-18",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "DE",
"license": "J1-0002978",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0002978",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT023376",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P01461871",
"state": "PA"
}
],
"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 Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.