Deepali Ramesh Hazariwala, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

J2-0000643 Issued in DE

Practice address

RT 24 Back Bay Farm Rd
Long Neck, DE 19966

Phone

(302) 947-9662

Fax

(302) 947-9692

NPI assigned

May 27, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851348767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 CHESTNUT XING DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132672",
            "telephone_number": "302-738-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 24 BACK BAY FARM RD",
            "city": "LONG NECK",
            "state": "DE",
            "postal_code": "19966",
            "telephone_number": "302-947-9662",
            "fax_number": "302-947-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZARIWALA",
        "first_name": "DEEPALI",
        "middle_name": "RAMESH",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DE",
            "license": "J2-0000643",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE007591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Derick Hall, PTA
• Anthony Joseph Lanzalotti, RPH
• Amy Joan McDermott
• Jennifer Noonan
• Lori Lynn Snyder
• Kirsten Hagedorn Suddath, LCSW

• Physical Therapy Assistant in Long Neck, DE
• Providers in Long Neck, DE by specialty
• Physical Therapy Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.