Active NPI
J Matthew Hanling, PT, CERT, MDT
- Physical Therapist
- Wilmington, DE
National Provider Identifier
1780687053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J10000534
- Practice address
- 5307 Limestone Rd
Suite 203
Wilmington, DE 19808-1268 - Phone
- (302) 234-8170
- Fax
- (302) 234-8174
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J10000534 | DE | Primary |
| Physical Therapist | 225100000X | PT0052927L | PA |
Addresses
Primary practice location
5307 Limestone Rd
Suite 203
Wilmington, DE 19808-1268
Mailing address
5307 Limestone Road
Suite 203
Wilmington, DE 19808
Phone (302) 234-8170
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S53652 | Other | DE | BCBS PROVIDER ID |
| 5707453 | Other | DE | AETNA PROVIDER ID |
| 1000037609 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5307 Limestone Rd
Suite 203
Wilmington, DE 19808-1283
Phone (302) 234-8170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J10000534 | DE | MD | Physical Therapist |
| PT0052927L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MKL LTD LLC | Physical Therapist | 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.
-
- Specialist
- Wilmington, DE
- NPI 1912000373
-
- Physical Therapist
- Christiana, DE
- NPI 1851353304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1780687053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5307 LIMESTONE ROAD",
"address_2": "SUITE 203",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19808",
"telephone_number": "302-234-8170",
"fax_number": "302-234-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5307 LIMESTONE RD",
"address_2": "SUITE 203",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198081268",
"telephone_number": "302-234-8170",
"fax_number": "302-234-8174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLING",
"first_name": "J",
"middle_name": "MATTHEW",
"credential": "PT, CERT, MDT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J10000534",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT0052927L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "S53652",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "5707453",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000037609",
"state": "DE"
}
],
"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 Sep 30, 2015; 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.