Individual provider Active NPI

Debra Kennedy, DC

  • Rehabilitation Chiropractor
  • Wilmington, DE
National Provider Identifier
1740338318
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
F1-0000458 Issued in DE
Practice address
2006 Foulk Rd
Suite B
Wilmington, DE 19810-3644
Phone
(302) 529-8783
Fax
(302) 529-1586
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X F1-0000458 DE Primary

Addresses

Primary practice location

2006 Foulk Rd
Suite B
Wilmington, DE 19810-3644

Mailing address

2006 Foulk Rd
Suite B
Wilmington, DE 19810-3644
Phone (302) 529-8783

Other practice location 1

1101 Twin C Lane
Ste 201
Newark, DE 19713-2159
Phone (302) 892-9355

Other practice location 2

1326 South Governors Avenue
Ste D
Dover, DE 19904-4800
Phone (302) 264-9770

Other practice location 3

1010 Concord Avenue
Ste 101
Wilmington, DE 19802-3366
Phone (302) 777-5551

Other practice location 4

757 Pulaski Highway
Ste 5
Bear, DE 19701-5214
Phone (302) 554-5421

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000747 DE Practitioner - Chiropractic 0143416420 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associates Past Accepting new patients

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1740338318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 FOULK RD",
            "address_2": "SUITE B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103644",
            "telephone_number": "302-529-8783",
            "fax_number": "302-529-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 FOULK RD",
            "address_2": "SUITE B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103644",
            "telephone_number": "302-529-8783",
            "fax_number": "302-529-1586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Twin C Lane",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132159",
            "country_code": "US",
            "telephone_number": "302-892-9355",
            "fax_number": "302-777-5567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1326 South Governors Avenue",
            "address_2": "Ste D",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199044800",
            "country_code": "US",
            "telephone_number": "302-264-9770",
            "fax_number": "302-883-2786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Concord Avenue",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198023366",
            "country_code": "US",
            "telephone_number": "302-777-5551",
            "fax_number": "302-777-5567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "757 Pulaski Highway",
            "address_2": "Ste 5",
            "address_purpose": "LOCATION",
            "city": "Bear",
            "state": "DE",
            "postal_code": "197015214",
            "country_code": "US",
            "telephone_number": "302-554-5421",
            "fax_number": "302-554-5019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "DE",
            "license": "F1-0000458",
            "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 Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.