Individual provider Active NPI

Kenneth Scott Dill, PHYSICAL THERAPIST

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1720193345
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J10000356 Issued in DE
Practice address
1010 N Bancroft Pkwy
Wilmington, DE 19805-2690
Phone
(302) 655-8989
Fax
(302) 655-9283
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J10000356 DE Primary

Addresses

Primary practice location

1010 N Bancroft Pkwy
Wilmington, DE 19805-2690

Mailing address

1010 North Bancroft Parkway
Wilmington, DE 19805-2690
Phone (302) 655-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014001047 DE Practitioner - Physical Therapist in Private Practice 4688634579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moore Therapeutic Services LLCGroup PAC ID 8921162918, 3 clinicians

Practice addresses (Care Compare)

701 Foulk Rd
Suite 2D
Wilmington, DE 19803-3733
Phone (302) 654-8142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J10000356DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy, Corp. Physical Therapist CurrentSince Aug 28, 2022 Accepting new patients
Moore Therapeutic Services LLC Physical Therapist CurrentSince Aug 5, 2019 Accepting new patients

Locations

701 Foulk Rd
Ste 2D
Wilmington, DE 19803
Phone (302) 654-8142

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1720193345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 NORTH BANCROFT PARKWAY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052690",
            "telephone_number": "302-655-8989",
            "fax_number": "302-285-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N BANCROFT PKWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052690",
            "telephone_number": "302-655-8989",
            "fax_number": "302-655-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILL",
        "first_name": "KENNETH",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10000356",
            "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 Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.