Individual provider Active NPI

Dennis Whitesel, P.T.

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1801827332
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J10000456 Issued in DE
Practice address
3105 Limestone Rd Ste 100
Wilmington, DE 19808-2147
Phone
(302) 239-2800
Fax
(302) 239-7500
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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 J10000456 DE Primary

Addresses

Primary practice location

3105 Limestone Rd Ste 100
Wilmington, DE 19808-2147

Mailing address

216 Lantana Dr
Hockessin, DE 19707-8805
Phone (302) 239-2800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000783 DE Practitioner - Physical Therapist in Private Practice 3971551698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportscare and Rehab Management, LLCGroup PAC ID 3173665536, 4 clinicians

Practice addresses (Care Compare)

1123 Churchmans Rd
Newark, DE 19713-2112
Phone (302) 294-5500

3105 Limestone Rd
Suite 100
Wilmington, DE 19808-2147
Phone (302) 239-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
J10000456DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare and Rehab Management, LLC Physical Therapist CurrentSince Oct 30, 2009 Accepting new patients
Christiana Care Health Initiatives Past Accepting new patients
Christiana Care Health Initiatives, Inc Physical Therapist Past Accepting new patients

Locations

216 Lantana Dr
Hockessin, DE 19707
Phone (302) 239-2800

3105 Limestone Rd
Ste 100
Wilmington, DE 19808
Phone (302) 239-2800

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1801827332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 LANTANA DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078805",
            "telephone_number": "302-239-2800",
            "fax_number": "302-239-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 LIMESTONE RD STE 100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082147",
            "telephone_number": "302-239-2800",
            "fax_number": "302-239-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESEL",
        "first_name": "DENNIS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10000456",
            "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 Oct 17, 2023; 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.