Active NPI
Kathleen Iffland, PT
- Physical Therapist
- Bear, DE
National Provider Identifier
1699756130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J10000561
- Practice address
- 100 Becks Woods Dr
Bear, DE 19701-3835 - Phone
- (302) 392-3400
- Fax
- (302) 392-3401
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J10000561 | DE | Primary |
Addresses
Primary practice location
100 Becks Woods Dr
Bear, DE 19701-3835
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01399332 | Other | DE | RR MEDICARE |
| 0000041626 | Medicaid | DE |
Other names 1
- Kathleen Maguigan
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 |
|---|---|---|---|
| J10000561 | DE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Callaway Franceschini LLC | Physical Therapist | Current | Accepting new patients |
| Callaway Franceschini LLC | Physical Therapist | Current | Accepting new patients |
Locations
750 Prides Xing
Ste 112
Newark, DE 19713
Phone (302) 864-2222
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424044800000",
"number": "1699756130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BECKS WOODS DR",
"city": "BEAR",
"state": "DE",
"postal_code": "197013835",
"telephone_number": "302-392-3400",
"fax_number": "302-392-3401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IFFLAND",
"first_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2015-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J10000561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01399332",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000041626",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "MAGUIGAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.