Ivyrehab Delaware LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

IVYREHAB DELAWARE LLC

Practice address

2710 Philadelphia Pike Ste E
Claymont, DE 19703-2568

Phone

(631) 580-5200

NPI assigned

Nov 21, 2019

Last updated

Aug 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Rucker

Title

Ceo

Phone

(631) 580-5200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pratiksha Bothara

  • Physical Therapist
  • Bear, DE
  • NPI 1497235402
  Medicare reassignment Care Compare group NPD
• Mohamed Ibrahim

  • Physical Therapist
  • Wilmington, DE
  • NPI 1770319857
  Medicare reassignment Care Compare group NPD
• Sean Thomas Joynt, MSPT

  • Physical Therapist
  • Middletown, DE
  • NPI 1639397367
  Medicare reassignment Care Compare group NPD
• Patricia Fannya Manchak, P.T.

  • Physical Therapist
  • Claymont, DE
  • NPI 1487610366
  Medicare reassignment Care Compare group NPD
• Emanuela Mannino, DPT

  • Physical Therapist
  • Claymont, DE
  • NPI 1013439272
  Medicare reassignment Care Compare group NPD
• Matthew McCaffery, DPT

  • Physical Therapist
  • Wilmington, DE
  • NPI 1023823028
  Medicare reassignment Care Compare group NPD
• Donelle R Mitchell, P.T.

  • Physical Therapist
  • Wilmington, DE
  • NPI 1477650885
  Medicare reassignment Care Compare group NPD
• Michael N Mount, PT

  • Physical Therapist
  • New Castle, DE
  • NPI 1003190620
  Medicare reassignment Care Compare group NPD
• Jessica Musumeci

  • Physical Therapist
  • Wilmington, DE
  • NPI 1609468453
  Medicare reassignment Care Compare group NPD
• Mary Nather

  • Physical Therapist
  • Bear, DE
  • NPI 1235338914
  Medicare reassignment Care Compare group NPD
• Samantha Orr

  • Physical Therapist
  • Claymont, DE
  • NPI 1679320501
  Medicare reassignment Care Compare group NPD
• Mitchell Thomas, PT

  • Physical Therapist
  • Middletown, DE
  • NPI 1861597593
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1750927141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 PHILADELPHIA PIKE STE E",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032568",
            "telephone_number": "631-580-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVYREHAB DELAWARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-580-5200"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penelope Husted
• Hydration Infusion Lounge LLC
• Dina Ann Iacone, DO
• Theresa Joan Inerfield, NURSE PRACTITIONER
• Joseph George Irwin, DC, FACO
• Richard Samuel Jacobs, D.D.S.
• Jennifer Jerez, LPCMH
• Rhealinda Johnson
• Tanya Johnson, MA
• Jillian Kerr, OTR/L

• Physical Medicine & Rehabilitation Physician in Claymont, DE
• Providers in Claymont, DE by specialty
• Physical Medicine & Rehabilitation Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.