Individual provider Active NPI

Tariq Carrington

  • Physical Therapist
  • Newark, DE
National Provider Identifier
1720974611
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0015069 Issued in DE
Practice address
1123 Churchmans Rd
Newark, DE 19713-2112
Phone
(302) 294-5500
NPI assigned
Jun 16, 2025
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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 J1-0015069 DE Primary

Addresses

Primary practice location

1123 Churchmans Rd
Newark, DE 19713-2112

Mailing address

401 A St Unit 314
Wilmington, DE 19801-6304
Phone (434) 327-2789

Other practice location 1

3105 Limestone Rd Ste 100
Wilmington, DE 19808-2147
Phone (302) 239-2800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250623000969 DE Practitioner - Physical Therapist in Private Practice 3274045661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Virginia Commonwealth University, School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportscare and Rehab Management, LLCGroup PAC ID 3173665536, 4 clinicians

Practice addresses (Care Compare)

3105 Limestone Rd
Suite 100
Wilmington, DE 19808-2147
Phone (302) 239-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1720974611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 A ST UNIT 314",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198016304",
            "telephone_number": "434-327-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 CHURCHMANS RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132112",
            "telephone_number": "302-294-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Limestone Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198082147",
            "country_code": "US",
            "telephone_number": "302-239-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRINGTON",
        "first_name": "TARIQ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0015069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.