Organization Active NPI

Southern Delaware Sportscare and Rehabilitation, LLC

  • Physical Therapist
  • Dover, DE
National Provider Identifier
1740736743
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SOUTHERN DELAWARE SPORTSCARE AND REHABILITATION, LLC
Doing business as
PIVOT PHYSICAL THERAPY
Practice address
1015 S Governors Ave
Dover, DE 19904-6901
Phone
(302) 730-4800
NPI assigned
Aug 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Harris Thompson
Title
Ceo
Phone
(410) 885-6371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1015 S Governors Ave
Dover, DE 19904-6901

Mailing address

501 Fairmount Ave
Ste 302
Towson, MD 21286-5457
Phone (410) 927-8768

Other names 1

  • PIVOT PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

701 Savannah Rd
Lewes, DE 19958
Phone (302) 644-2530

1211 Churchmans Rd
Newark, DE 19713
Phone (302) 455-2074

37155 Rehoboth Avenue Ext
Rehoboth Beach, DE 19971
Phone (302) 227-2008

1320 Middleford Rd
Ste 203
Seaford, DE 19973
Phone (302) 404-5613

4512 Kirkwood Hwy
Ste 203
Wilmington, DE 19808
Phone (302) 984-0257

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1740736743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FAIRMOUNT AVE",
            "address_2": "STE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865457",
            "telephone_number": "410-927-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046901",
            "telephone_number": "302-730-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DELAWARE SPORTSCARE AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-885-6371"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIVOT PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.