Active NPI
James William Bedwell, DPT, ATC
- Physical Therapist
- Seaford, DE
National Provider Identifier
1699053306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25798
- Practice address
- 715 E King St
Seaford, DE 19973-3505 - Phone
- (302) 628-3000
- NPI assigned
- Jul 28, 2011
- Last updated
- Sep 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25798 | MD | Primary |
| Athletic Trainer | 2255A2300X | MD |
Addresses
Primary practice location
715 E King St
Seaford, DE 19973-3505
Mailing address
1011 Russell Ave
Salisbury, MD 21801-6151
Phone (410) 708-4986
Other practice location 1
1655 Woodbrooke Dr
Suite 102
Salisbury, MD 21804-8502
Phone (410) 546-2702
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula-NRH Regional Rehabilitation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Peninsula-NRH Rehab @ Millsboro
- Physical Therapy Clinic/Center
- Millsboro, DE
- NPI 1689085847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1699053306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 RUSSELL AVE",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218016151",
"telephone_number": "410-708-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 E KING ST",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199733505",
"telephone_number": "302-628-3000"
}
],
"practiceLocations": [
{
"address_1": "1655 Woodbrooke Dr",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218048502",
"country_code": "US",
"telephone_number": "410-546-2702",
"fax_number": "410-546-8272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEDWELL",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-28",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25798",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seaford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.