Active NPI
Ryan Nucifora
- Physical Therapist
- Wilmington, DE
National Provider Identifier
1821474826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0003368
- Practice address
- 3401 Brandywine Pkwy
Suite 201
Wilmington, DE 19803-1554 - Phone
- (302) 479-0880
- Fax
- (302) 990-5963
- NPI assigned
- Aug 3, 2015
- 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 | J1-0003368 | DE | Primary |
Addresses
Primary practice location
3401 Brandywine Pkwy
Suite 201
Wilmington, DE 19803-1554
Mailing address
1265 Wayne Ave Ste 308
119 Professional Building
Indiana, PA 15701-3501
Phone (724) 801-8095
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0003368 | DE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1821474826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 WAYNE AVE STE 308",
"address_2": "119 PROFESSIONAL BUILDING",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013501",
"telephone_number": "724-801-8095",
"fax_number": "724-801-8147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 BRANDYWINE PKWY",
"address_2": "SUITE 201",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198031554",
"telephone_number": "302-479-0880",
"fax_number": "302-990-5963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUCIFORA",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-03",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003368",
"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 Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.