Organization Active NPI

Lymphedema Clinics of America LLC

  • Physical Therapy Clinic/Center
  • Wilmington, DE
National Provider Identifier
1699100016
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2013605008 Issued in DE
Legal business name
LYMPHEDEMA CLINICS OF AMERICA LLC
Practice address
701 Foulk Rd
Suite 1B
Wilmington, DE 19803-3733
Phone
(302) 691-5167
Fax
(302) 691-5168
NPI assigned
Sep 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Authorized official

Name
Mrs. Caroline E Logan
Title
Chief Operating Officer
Phone
(443) 907-8449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2013605008 DE Primary

Addresses

Primary practice location

701 Foulk Rd
Suite 1B
Wilmington, DE 19803-3733

Mailing address

PO Box 826366
Philadelphia, PA 19182-6366
Phone (302) 691-5167

National Provider Directory

National Provider Directory

Locations

701 Foulk Rd
Ste 1B
Wilmington, DE 19803
Phone (302) 691-5167

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1699100016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826366",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191826366",
            "telephone_number": "302-691-5167",
            "fax_number": "302-691-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 FOULK RD",
            "address_2": "SUITE 1B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033733",
            "telephone_number": "302-691-5167",
            "fax_number": "302-691-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA CLINICS OF AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "443-907-8449",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "DE",
            "license": "2013605008",
            "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 Oct 10, 2013; 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.