Individual provider Active NPI

Lendie May T Paradela

  • Physical Therapist
  • Dover, DE
National Provider Identifier
1750610952
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J10002491 Issued in DE
Practice address
1125 Forrest Ave
101
Dover, DE 19904-3483
Phone
(302) 735-4900
Fax
(302) 735-4671
NPI assigned
Dec 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 J10002491 DE Primary

Addresses

Primary practice location

1125 Forrest Ave
101
Dover, DE 19904-3483

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other identifiers 4

IdentifierTypeStateIssuer
1750610952OtherDEDPCI
3768345000OtherDEIBC
1750610952MedicaidDE
299172OtherUNISON

Other names 1

  • Lendie May Tomol Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100412000034 DE Practitioner - Physical Therapist in Private Practice 6709912249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mabcf LLCGroup PAC ID 7719380484, 5 clinicians
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

300 Hall PL
Milford, DE 19963-1809
Phone (302) 396-0473

5502 S Dupont Hwy
Woodside Shopping Center Suite 4
Dover, DE 19901-6440
Phone (302) 725-5116

941 N Dupont Blvd
Suite C
Milford, DE 19963-1069
Phone (302) 422-6670

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mabcf LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 21, 2020 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 21, 2020 Accepting new patients

Locations

285 Beiser Blvd
Ste 202
Dover, DE 19904
Phone (302) 747-5995

1288 S Governors Ave
Dover, DE 19904
Phone (302) 677-0100

16819 S DuPont Hwy
Ste 500
Harrington, DE 19952
Phone (302) 786-3008

941 N DuPont Blvd
Ste C
Milford, DE 19963
Phone (302) 422-6670

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

Organizations & group practices 3

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": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1750610952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 FORREST AVE",
            "address_2": "101",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043483",
            "telephone_number": "302-735-4900",
            "fax_number": "302-735-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADELA",
        "first_name": "LENDIE MAY",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10002491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPCI",
            "identifier": "1750610952",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "3768345000",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750610952",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "299172",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENDIE MAY",
            "last_name": "TOMOL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 2, 2024; 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.