Active NPI
Kenneth Dellaero, PT
- Physical Therapist
- Wilmington, NC
National Provider Identifier
1811125347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7863
- Practice address
- 1011 Porters Neck Rd
Wilmington, NC 28411-9196 - Phone
- (910) 686-5614
- NPI assigned
- Jun 23, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7863 | NC | Primary |
Addresses
Primary practice location
1011 Porters Neck Rd
Wilmington, NC 28411-9196
Mailing address
1521 Cadfel CT
302
Wilmington, NC 28412-6653
Phone (910) 515-5144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7863 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245715200000",
"number": "1811125347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 CADFEL CT",
"address_2": "302",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126653",
"telephone_number": "910-515-5144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 PORTERS NECK RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284119196",
"telephone_number": "910-686-5614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLAERO",
"first_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-23",
"last_updated": "2009-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "7863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.