Marta Gospodarek, PT
Individual provider Active NPI Physical Therapist · Middletown, DE
NPI 1881675320 · NPPES record last updated Jul 16, 2024
Key facts
- NPI
- 1881675320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- J10000970 (DE)
- Practice address
- 432 E Main St
Middletown, DE 19709-1462 - Phone
- (302) 376-4315
- Fax
- (302) 376-4318
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ati Holdings, LLC
Practice addresses (Care Compare)
1288 S Governors Ave
Ati Physical Therapy
Dover, DE 19904-4802
Phone (302) 677-0100
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.05 of 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040506000370 | DE | Practitioner - Physical Therapist in Private Practice | 6103814165 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J10000970 | DE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current |
Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current |
Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Past | Accepting new patients |
| Dynamic Therapy Services LLC | Physical Therapist | Past | Accepting new patients |
Locations
1288 S Governors Ave
Dover, DE 19904
Phone (302) 677-0100
114 Sandhill Dr
Ste 103
Middletown, DE 19709
Phone (302) 285-0700
1600 N Washington St
Wilmington, DE 19802
Phone (302) 428-5954
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J10000970 | DE | Yes |
Addresses
Primary practice location
432 E Main St
Middletown, DE 19709-1462
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3744644000 | Other | DE | IBC |
| 1881675320 | Medicaid | DE | |
| 000050781 | Other | DE | DPCI |
| P00707428 | Other | DE | MEDICARE RR |
Other providers in Middletown, DE
- Good Shepherd Home Services, LLC
- Good Shepherd Home Services, LLC
- Good Vibes Dentistry LLC
- Brian Mitchell Goodyear
- Nicholas Joseph Gorman-Zolochik
- Grace and Favour Home Care Services
- Grace and Favour Home Care Services, Inc.
- Mark A Graybeal
- Green Street Dentistry & Aesthetics, LLC
- Julianna Greene
All providers in Middletown, DE · Physical Therapist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.