Individual provider Active NPI

Rebecca Wadman, PT, DPT

  • Physical Therapist
  • Hockessin, DE
National Provider Identifier
1720706740
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014591 Issued in DE
Practice address
720 Yorklyn Rd Ste 150
Hockessin, DE 19707-8729
Phone
(302) 234-2288
Fax
(302) 234-2869
NPI assigned
Aug 16, 2022
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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 J1-0014591 DE Primary

Addresses

Primary practice location

720 Yorklyn Rd Ste 150
Hockessin, DE 19707-8729

Mailing address

720 Yorklyn Rd Ste 150
Hockessin, DE 19707-8729
Phone (302) 234-2288

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billing@pptandfitness.com Performance Physical Therapy, Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220919001190 DE Practitioner - Physical Therapist in Private Practice 8224413836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Physical Therapy, IncGroup PAC ID 2860589306, 16 clinicians

Practice addresses (Care Compare)

720 Yorklyn Rd
Suite 150
Hockessin, DE 19707-8729
Phone (302) 234-2288

Merit-based Incentive Payment System (MIPS)

Final score
92.09 of 100Reported as individual
Quality
84.18
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0014591DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy, Inc Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients

Locations

720 Yorklyn Rd
Ste 150
Hockessin, DE 19707
Phone (302) 234-2288

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.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1720706740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 YORKLYN RD STE 150",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078729",
            "telephone_number": "302-234-2288",
            "fax_number": "302-234-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 YORKLYN RD STE 150",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078729",
            "telephone_number": "302-234-2288",
            "fax_number": "302-234-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADMAN",
        "first_name": "REBECCA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@pptandfitness.com",
            "affiliation": "Y",
            "affiliationName": "Performance Physical Therapy, Inc",
            "address_1": "720 Yorklyn Rd Ste 150",
            "city": "Hockessin",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197078729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hockessin, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.