MKL LTD LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1997115418 Issued in DE

Legal business name

MKL LTD LLC

Doing business as

Christiana Physical Therapy & Spine Center

Practice address

20 Peddlers Village Ctr
Christiana, DE 19702-1525

Phone

(302) 731-2660

Fax

(302) 731-2664

NPI assigned

Apr 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

J Matthew Hanling, PTNPI 1780687053

Title

Owner/President

Phone

(302) 731-2660

Specialties & licenses 1

Addresses

Other names 1

• Christiana Physical Therapy & Spine Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• J Matthew Hanling, PT, CERT, MDT

  • Physical Therapist
  • Wilmington, DE
  • NPI 1780687053
  NPD (past) Authorized official

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851353304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEDDLERS VILLAGE CTR",
            "city": "CHRISTIANA",
            "state": "DE",
            "postal_code": "197021525",
            "telephone_number": "302-731-2660",
            "fax_number": "302-731-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PEDDLERS VILLAGE CTR",
            "city": "CHRISTIANA",
            "state": "DE",
            "postal_code": "197021525",
            "telephone_number": "302-731-2660",
            "fax_number": "302-731-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKL LTD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANLING",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "302-731-2660",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "1997115418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christiana Physical Therapy & Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delaware Clinical & Laboratory Physicians, PA
• Epic Health Services (de), LLC (Aveanna Healthcare)
• Brenda Ann Fairchild, DC
• Shane Lindsey Fletcher, M.S. CCC-SLP/L
• Julia Golod, D.C.
• Anita Marie O'Donnell, LPCMH
• Annie Paul
• Spine Spa
• Usv Optical Inc.
• Michelle L. Uy

• Physical Therapist in Christiana, DE
• Providers in Christiana, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.