Active NPI
Chris Vincent
- Physical Therapist
- Georgetown, DE
National Provider Identifier
1831510619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0003405
- Practice address
- 110 W North St
Georgetown, DE 19947-2144 - Phone
- (302) 856-4574
- NPI assigned
- Dec 23, 2013
- 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 | J1-0003405 | DE | Primary |
Addresses
Primary practice location
110 W North St
Georgetown, DE 19947-2144
Mailing address
11 Crown Cir
Milford, DE 19963-3732
Phone (609) 233-9139
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 |
|---|---|---|---|
| J1-0003405 | DE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1831510619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 CROWN CIR",
"city": "MILFORD",
"state": "DE",
"postal_code": "199633732",
"telephone_number": "609-233-9139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W NORTH ST",
"city": "GEORGETOWN",
"state": "DE",
"postal_code": "199472144",
"telephone_number": "302-856-4574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "CHRIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-23",
"last_updated": "2023-12-12",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.